| North Texas Digital Imaging | |
|
2698 N Galloway Ave Mesquite TX 75150-6383 | |
| (972) 681-4000 | |
| (972) 681-0881 |
| Full Name | North Texas Digital Imaging |
|---|---|
| Speciality | Clinic/Center |
| Location | 2698 N Galloway Ave, Mesquite, Texas |
| Authorized Official Name and Position | Minu Mammen Mathew (DIRECTOR) |
| Authorized Official Contact | 9726814000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Texas Digital Imaging 2698 N Galloway Ave Mesquite TX 75150-6383 Ph: (972) 681-4000 | North Texas Digital Imaging 2698 N Galloway Ave Mesquite TX 75150-6383 Ph: (972) 681-4000 |
| NPI Number | 1558483776 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 07/03/2013 |
| Medicare PECOS PAC ID | 3577652288 |
|---|---|
| Medicare Enrollment ID | O20120906000850 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558483776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | R31261 (Texas) | Secondary |
| 261QR0200X | Clinic/center - Radiology | R31261 (Texas) | Primary |
| 293D00000X | Physiological Laboratory | R31261 (Texas) | Secondary |
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