| NPI | 1205933256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKSON JACOB General Manager 214-328-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX J6228) |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-02-19 |