| NPI | 1083267256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD GENE SOWELL Exec. Vice President 270-745-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |