| NPI | 1487706065 |
|---|---|
| Doing Business As | PET IMAGING OF SAN ANTONIO AT NORTHEAST BAPTIST |
| Entity Type | Organization |
| Authorized Contact | JERRY M. EYLER Secretary Of General Partner 615-467-7408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |