| NPI | 1104372028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD JOHN CAPARELLA Administrator 832-730-8042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: RUS#CCI 00011742) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |