| NPI | 1184356685 |
|---|---|
| Doing Business As | ENVISION IMAGING SOUTHWEST FORT WORTH |
| Entity Type | Organization |
| Authorized Contact | ANDREW BENSON VP Operations 719-955-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2024-05-13 |