| NPI | 1326458191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL FISHER President 817-510-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: TX L06641) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |