Provider Demographics
NPI:1144905001
Name:DYNAMIC MOBILE XRAY LLC
Entity type:Organization
Organization Name:DYNAMIC MOBILE XRAY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:FAROOQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-820-2089
Mailing Address - Street 1:30 PROVIDENCIA CT.
Mailing Address - Street 2:SUITE # 7 - 2ND FLOOR
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526
Mailing Address - Country:US
Mailing Address - Phone:956-446-6118
Mailing Address - Fax:956-446-6116
Practice Address - Street 1:30 PROVIDENCIA CT.
Practice Address - Street 2:SUITE # 7 - 2ND FLOOR
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526
Practice Address - Country:US
Practice Address - Phone:956-446-6118
Practice Address - Fax:956-446-6116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty