| NPI | 1043991649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA SHEA STONE Owner 325-242-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2024-06-11 |