| NPI | 1497930630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHEL SHADE Owner 972-822-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: TX r31722) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-12-15 |