Organization
MEDICAL IMAGING OF DALLAS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRIDGET HAYNES (ADMINISTRATOR)
(972) 906-6276
Entity
Organization
Contact information
Practice address
102 DECKER CT STE 205, IRVING, TX 75062-2740
(972) 906-6250
(972) 906-0116
Mailing address
PO BOX 814129, DALLAS, TX 75381-4129
(972) 906-6250
(972) 906-0116
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093792201
—
TX
Enumeration date
09/27/2006
Last updated
01/10/2011
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