| NPI | 1194061135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES AUBREY WALLER Managing Manager 817-528-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |