| NPI | 1265065593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARYD STEIN President, Provider 469-850-5760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2023-01-03 |