| NPI | 1245665546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA LUCAS Manager 512-590-9530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX P7495) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2014-02-05 |