| NPI | 1104467232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY D MARTIN President 469-215-3494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2020-11-17 |