Organization
PRESTIGE DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE MICHELLE TAYLOR (OWNER/MANGER)
(817) 887-9750
Entity
Organization
Contact information
Practice address
6491 SOUTHWEST BLVD, BENBROOK, TX 76132-2777
(817) 887-9750
(817) 887-9753
Mailing address
6491 SOUTHWEST BLVD, BENBROOK, TX 76132-2777
(817) 887-9750
(817) 887-9753
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
P00343899
TX
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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