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Organization

DYNAMIC DIAGNOSTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GLORIETEL VIERA (MANAGER)
(832) 310-8119
Entity
Organization

Contact information

Practice address
455 JULIE RIVERS DR, SUGAR LAND, TX 77478-3146
(281) 240-6400
Mailing address
455 JULIE RIVERS DR, SUGAR LAND, TX 77478-3146

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
261QR0200X
Radiology Clinic/Center
261QR0208X
Mobile Radiology Clinic/Center

Other

Enumeration date
12/29/2015
Last updated
12/29/2015
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