| NPI | 1275003311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE RANDALL MARTIN CFO 817-988-0986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 2085R0205X Radiology, Radiological Physics |
| Enumeration Date | 2018-12-02 |
| Last Update Date | 2018-12-02 |