| NPI | 1376746263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MICHAEL JORDAN Vice President 817-477-0942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471C3402X Radiologic Technologist Radiography (Licence: TX 208253) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |