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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

NPI Number 1528148715
LBN Legal business name ABOUDIB ADVANCED IMAGING INC
Authorized official TONY ABOUDIB - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/16/2006
Last updated 12/03/2010 - About 16 years ago
Identifiers
TX License # R26088
TX Medicaid 088049401
Other 0090DC BLUE CROSS
Other P00012585 RAILROAD MEDICARE
TX Other 376899000 DEPARTMENT OF LABOR
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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