| NPI | 1225217243 |
|---|---|
| Doing Business As | PORT X MEDICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | DEBRA KAY FAULKNER Owner 870-862-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2008-06-17 |