| NPI | 1518149624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE STROLENY Asst. Admin. 361-881-9142 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: TX R36534) |
| Additional Taxonomies | 293D00000X Physiological Laboratory (Licence: TX 96713) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2016-10-28 |