Legacy Medical Imaging

NPI #1770852840 in Waco, Texas

Provider Information

NPI Number
1770852840
Entity Type
Organization
Organization Name
Legacy Medical Imaging
Subpart
Yes (part of a larger organization)
Parent Organization
PHYSICIANS OF KING'S DAUGHTERS, PA
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Dec 20, 2011
Last Updated
Dec 20, 2011

Practice Location

Address
601 W HWY 6
Address 2
SUITE 104
City
Waco
State
Texas
ZIP Code
76710-5591
Phone
(254) 741-9729

Authorized Official

Name
MR. JIM MADSEN
Title
CHIEF OPERATIONS OFFICER
Phone
(254) 298-2490

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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