| NPI | 1376479360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY CHAVEZ Owner/ Authorized Official 469-428-2975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2026-06-18 |
| Last Update Date | 2026-08-11 |