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General NPI Number Information
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NPI Number | 1952378036
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Entity Type | Organization
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Legal Business Name | TEXAS DIAGNOSTIC IMAGING, P.A.
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 5508 W PLANO PKWY STE 200
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City | PLANO
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State | TX
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Zip | 75093-4858
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Country | US
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Telephone | 972-612-1900
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Fax | 972-612-0900
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Provider Business Mailing Address
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Address Line | 5508 W PLANO PKWY STE 200
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City | PLANO
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State | TX
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Zip | 75093-4858
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Country | US
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Telephone | 972-612-1900
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Fax | 972-612-0900
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DOOHI LEE
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Credential | M.D.
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Telephone | 972-612-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | L1920
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License Number State | TX
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