Organization
MAXIM DIAGNOSTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MACKNIGHT (MANAGING PARTNER)
(817) 341-3016
Entity
Organization
Contact information
Practice address
2618 E BANKHEAD HWY, WEATHERFORD, TX 76087-9558
(817) 341-3016
(817) 341-2394
Mailing address
2618 E BANKHEAD HWY, WEATHERFORD, TX 76087-9558
(817) 341-3016
(817) 341-2394
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2005
Last updated
08/22/2020
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