| NPI | 1215754031 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | GETHIN WILLIAMS Sole Member 915-303-8977  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology | 
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology | 
| Enumeration Date | 2024-09-23 | 
| Last Update Date | 2024-11-14 |