| NPI | 1093752891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY S LANGELY Diagnostic Operations Manager 817-514-4009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology Diagnostic Ultrasound |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |