| Imaging Center Of Magnolia Pllc | |
|
827 Magnolia Blvd Ste 2 Suite B Magnolia TX 77355-8553 | |
| (281) 789-4329 | |
| (281) 789-4339 |
| Full Name | Imaging Center Of Magnolia Pllc |
|---|---|
| Speciality | Dentist |
| Location | 827 Magnolia Blvd Ste 2, Magnolia, Texas |
| Authorized Official Name and Position | Donna K Kotsios (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2812969562 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imaging Center Of Magnolia Pllc 4185 Technology Forest Blvd Suite 120 The Woodlands TX 77381-2006 Ph: (281) 296-9562 | Imaging Center Of Magnolia Pllc 827 Magnolia Blvd Ste 2 Suite B Magnolia TX 77355-8553 Ph: (281) 789-4329 |
| NPI Number | 1780021956 |
|---|---|
| Provider Enumeration Date | 05/29/2013 |
| Last Update Date | 05/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780021956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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