Organization
MAGNOLIA IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHADIJA AZIZ M.D. (CEO)
(859) 619-4450
Entity
Organization
Contact information
Practice address
2701 BAY SHORE DR, SEABROOK, TX 77586-1692
(859) 619-4450
(281) 336-0224
Mailing address
2701 BAY SHORE DR, SEABROOK, TX 77586-1692
(859) 619-4450
(281) 336-0224
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
N4268
TX
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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