IMAGING CENTER OF MAGNOLIA PLLC (NPI# 1780021956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780021956 |
| Entity Type | Organization |
| Organization Name | IMAGING CENTER OF MAGNOLIA PLLC |
| Practice Address |
827 Magnolia Blvd Ste 2 Suite B Magnolia TX 77355-8553 |
| Mailing Address |
4185 Technology Forest Blvd Suite 120 The Woodlands TX 77381-2006 |
| Practice Telephone | 2817894329 |
| Practice Fax Number | 2817894339 |
| Mailing Telephone | 2812969562 |
| Mailing Fax Number | 2812969774 |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |
| Authorized Official Name | DONNA K KOTSIOS (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 2812969562 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
827 MAGNOLIA BLVD STE 2 SUITE B |
| City | MAGNOLIA |
| State | TX |
| Zip Code | 77355-8553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215478938 | Jillian Mahan | Physical Therapist | 827 Magnolia Blvd Ste 2, Magnolia, TX 77355-8553 | 2017-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760904684 | Celia Hicks | Surgery | 30503 N Sulphur Creek Dr, Magnolia, TX 77355 | 2017-07-12 |
| 1275063232 | Courtney Leeann Hoffman | Dentist | 827 S. Magnolia Blvd., Suite 1, Magnolia, TX 77355 | 2017-06-13 |
| 1730484668 | Cynthia Ann Aubin | Massage Therapist | 20072 Forestview Dr, Magnolia, TX 77355 | 2011-01-25 |
| 1588989883 | D & D Heavenly Home Health Inc | Home Health | 322 Pecan Dr, Magnolia, TX 77355 | 2010-03-30 |
| 1023179207 | Randall Dean Walker | Family Medicine | 827 S. Magnolia Blvd, Suite 6, Magnolia, TX 77355 | 2006-12-12 |
| 1093808651 | Texas Minor Emergency Center, Lp | Emergency Medicine | 827 S. Magnolia Blvd., #6, Magnolia, TX 77355 | 2006-10-02 |
| 1376653691 | Stephen H Nabors | Dentist | 827 S Magnolia Blvd, Magnolia, TX 77355 | 2006-08-30 |
| 1225041981 | Magnolia Physical Therapy | Physical Therapist | 18602 Fm 1488, Ste 600, Magnolia, TX 77355 | 2006-08-14 |
| 1235788506 | Annie Laurie Frazier | Physical Therapy Assistant | 24069 Wilde Dr, Magnolia, TX 77355-1507 | 2019-09-09 |
| 1851556807 | Lea Montgomery | Occupational Therapy Assistant | 25660 Magnolia Pines Dr, Magnolia, TX 77355-1891 | 2008-07-18 |
| Find all providers in zip 77355 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508351016 | Trinity Magnolia Dental Pllc | Dentist | 18640 Fm 1488 Rd Ste I, Magnolia, TX 77354-8517 | 2018-06-27 |
| 1982197083 | Anam Khan | Dentist | 6209 Fm 1488 Rd # M, Magnolia, TX 77354-2508 | 2018-06-13 |
| 1609123587 | Sarah Wood Norman | Dentist | 7030 Fm 1488 Rd, Suite 200, Magnolia, TX 77354-6771 | 2012-08-09 |
| 1881858017 | Troy C Bonin | Dentist | 5403 Fm 1488 Rd, Ste A-7 (republic of Texas), Magnolia, TX 77354-2524 | 2008-07-16 |
| 1295927770 | Michael Gillogly | Dentist | 6606 Fm 1488 Rd Ste 136, Magnolia, TX 77354-2545 | 2007-08-17 |
| 1952507022 | An Xuan Tran | Dentist | 540 Fresno Drive, Magnolia, NJ 08049 | 2007-06-25 |
| 1033327499 | Robert Mark Tamborello | Dentist | 5403 Fm 1488, #7, Magnolia, TX 77354 | 2007-05-18 |
| 1811104748 | Nancy Goettee Sawyer | Dentist | 18252 Fm 1488 Rd, #120, Magnolia, TX 77354-8506 | 2007-05-17 |
| 1760550479 | James W Rotton Dds Pa | Dentist | 222 North Pine, Suite 4, Magnolia, AR 71753 | 2006-12-01 |
| 1255409629 | Joseph C Wigfield | Dentist | 5371 State Route 183 Ne, Magnolia, OH 44643 | 2006-12-01 |
| Find all providers in MAGNOLIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.