| NPI | 1114971637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE LYNN ROBSON Provider 214-360-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: TX 22853) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-22 |