| NPI | 1154832244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HERNANDEZ Billing Manager 980-989-9487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |