Organization
BRIDGE MEDICAL IMAGING AT STONEBRIAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN MAGNUSON (CEO)
(214) 435-0470
Entity
Organization
Contact information
Practice address
3550 PARKWOOD BLVD, C-302, FRISCO, TX 75034-1903
(469) 208-8486
Mailing address
4600 FULLER DR, 275, IRVING, TX 75038-6551
(817) 430-5885
(817) 430-5895
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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