| NPI | 1508230913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID BONDY Director 972-867-7862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX K2421) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: TX K2421) |
| 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: TX K2421) | |
| 2085H0002X Radiology, Hospice and Palliative Medicine (Licence: TX K2421) | |
| 2085N0700X (Licence: TX K2421) | |
| 2085N0904X (Licence: TX K2421) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: TX K2421) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX K2421) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: TX K2421) | |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2017-02-24 |