| NPI | 1073913943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT OLSAN Administrator 281-292-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2015-08-11 |