DYNAMIC X-RAY INC. NPI 1811399678

NPI Information

  • NPI: 1811399678
  • Provider Name: DYNAMIC X-RAY INC.
  • Classification: Radiologic Technologist - 247100000X
  • Entity Type: Organization
  • Address: 4230 LBJ FWY
    STE, 111
    DALLAS, TX
    ZIP 75244
  • Phone: (972) 352-7260

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NPI Details

DYNAMIC X-RAY INC. is a radiologic technologist in Dallas, TX. The provider is a medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation. DYNAMIC X-RAY INC. NPI is 1811399678. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4230 LBJ FWY
STE, 111
DALLAS, TX
ZIP 75244-806
Phone: (972) 352-7260

The provider's authorized official is Benny J. Illickal .
The authorized official title is Owner and has the following contact phone number (972) 352-7260.

The enumeration date for this NPI number is 9/23/2014 and was last updated on 6/20/2018.

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
1246XS1301XSpecialist/Technologist CardiovascularSonographyTEXASNo
22471C3402XRadiologic TechnologistRadiographyTEXASNo
32471V0105XRadiologic TechnologistVascular SonographyTEXASNo
42471S1302XRadiologic TechnologistSonographyTEXASNo
5247100000XRadiologic TechnologistTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERTEXASEIN

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: 11/21/2025

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