West Texas Imaging Center PA

NPI #1063781334 in Odessa, Texas

Provider Information

NPI Number: 1063781334
Entity Type: Organization
Organization Name: West Texas Imaging Center PA
Subpart: Yes (part of a larger organization)
Parent Organization: WEST TEXAS IMAGING CENTER
Primary Specialty: Specialist
Enumeration Date: Dec 15, 2011
Last Updated: Apr 30, 2012

Practice Location

Address: 320 N MUSKINGUM AVE
City: Odessa
State: Texas
ZIP Code: 79761-5152
Phone: (432) 335-8400

Authorized Official

Name: DR. SAJJADUL ISLAM, M.D.
Title: OWNER/PHYSICIAN
Phone: (432) 335-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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