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Contact Information

DESOTO DIAGNOSTIC IMAGING, LLC
201 N BECKLEY AVE
FLOWER MOUND, TX75115
 Phone: 972-274-3175
 Fax: 972-223-0586
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for DESOTO DIAGNOSTIC IMAGING, LLC

NPI # 1881692325
LBN Legal business name DESOTO DIAGNOSTIC IMAGING, LLC
Authorized official ERIC BENNOS - (V.P.)
Entity Organization
Organization subpart 1 No
Enumeration date 07/08/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
TX License # MDG 7164
Other MDG7164 GROUP
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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