| NPI | 1144715343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK FEANNY CEO 832-850-6090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-07-30 |