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WEST TEXAS IMAGING CENTER PA NPI 1063781334


NPI Information

NPI: 1063781334
Provider Name: WEST TEXAS IMAGING CENTER PA

Former Legal Business Name: SAJJADUL ISLAM

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
320 N MUSKINGUM AVE
ODESSA, TX
ZIP 79761
Phone: (432) 335-8400
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WEST TEXAS IMAGING CENTER PA is a specialist in Odessa, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WEST TEXAS IMAGING CENTER PA NPI is 1063781334. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Sajjadul Islam.

The provider's business location address is:

320 N MUSKINGUM AVE
ODESSA, TX
ZIP 79761-152
Phone: (432) 335-8400

The provider's authorized official is Sajjadul Islam .
The authorized official title is Owner/physician and has the following contact phone number (432) 335-8400.

The enumeration date for this NPI number is 12/15/2011 and was last updated on 4/30/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistG7240TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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