| NPI | 1205083862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JASON ROBERTS Owner/Operator 281-620-1457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: TX 91385) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2008-08-25 |