Organization
IMAGING CENTER OF MAGNOLIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA K KOTSIOS (PRACTICE ADMINISTRATOR)
(281) 296-9562
Entity
Organization
Contact information
Practice address
827 MAGNOLIA BLVD STE 2, SUITE B, MAGNOLIA, TX 77355-8553
(281) 789-4329
(281) 789-4339
Mailing address
4185 TECHNOLOGY FOREST BLVD, SUITE 120, THE WOODLANDS, TX 77381-2006
(281) 296-9562
(281) 296-9774
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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