Organization
LEGACY MEDICAL IMAGING
Active
Parent organization
PHYSICIANS OF KING'S DAUGHTERS, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICIANS OF KING'S DAUGHTERS, PA
Authorized official
MR. JIM MADSEN (CHIEF OPERATIONS OFFICER)
(254) 298-2490
Entity
Organization
Contact information
Practice address
601 W HWY 6, SUITE 104, WACO, TX 76710-5591
(254) 741-9729
(254) 399-0669
Mailing address
1905 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 298-2490
(254) 778-7197
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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