| NPI | 1083627988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY JOSEPH LIBERONI Partner 979-323-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |