| NPI | 1205946183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ANN NELSON Director 210-922-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology |
| Additional Taxonomies | 2471M1202X Radiologic Technologist Magnetic Resonance Imaging (Licence: TX J9298) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2025-06-20 |