| NPI | 1396768016 |
|---|---|
| Former Legal Business Name | DENTON REGIONAL VASCULAR LAB |
| Entity Type | Organization |
| Authorized Contact | ERIKA J JOHLER President/Owner 940-566-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2021-10-21 |