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Contact Information

ABOUDIB ADVANCED IMAGING INC
3120 W SOUTHLAKE BLVD
SUITE 140
SOUTHLAKE, TX76092
 Phone: 817-741-0808
 Fax: 817-741-0841
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for ABOUDIB ADVANCED IMAGING INC · (Female)

NPI # 1528148715
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2006
Last updated 12/03/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # R26088
  • TX Medicaid 088049401
  • Other 0090DC BLUE CROSS
  • Other P00012585 RAILROAD MEDICARE
  • TX Other 376899000 DEPARTMENT OF LABOR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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