| NPI | 1083262091 |
|---|---|
| Doing Business As | MTV IR INTERVENTIONAL LAB |
| Entity Type | Organization |
| Authorized Contact | TRAVIS ALLEN VAN METER President 469-458-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |