| NPI | 1417304601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ADAM GATEWOOD CEO 469-450-0498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |