| NPI | 1265228951 |
|---|---|
| Doing Business As | ESBMDPA |
| Entity Type | Organization |
| Authorized Contact | ERIC SIDARIS BENNOS, MD President/CEO 817-243-2432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |