| NPI | 1316901135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE FUCIARELLI Vice President For Finance And Admi 915-215-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology |
| 2085N0904X Radiology, Nuclear Radiology | |
| 2085P0229X Radiology, Pediatric Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2019-11-06 |