Organization
WILLOWBEND DIAGNOSTIC IMAGING, PLLC
Active
Other names
Insight Imaging - Willowbend
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M. FULMER M.D. (PRESIDENT, OWNER)
(972) 596-1934
Entity
Organization
Contact information
Practice address
5025 W PARK BLVD, BLDG A, SUITE 500, PLANO, TX 75093-2584
(972) 596-1934
(972) 596-4934
Mailing address
26250 ENTERPRISE COURT, SUITE 100, LAKE FOREST, CA 92630
(949) 282-6026
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
01/07/2010
Last updated
05/20/2012
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