| NPI | 1023683307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD MICHAEL SCOBLE Owner 817-898-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-05-20 |