| NPI | 1528121340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TEIG PORT Medical Director 972-331-4481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 246XS1301X Spec/Tech, Cardiovascular, Sonography |
| 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) | |
| 2471S1302X Radiologic Technologist, Sonography | |
| 2471V0105X Radiologic Technologist, Vascular Sonography | |
| 2471C3401X Radiologic Technologist, Computed Tomography (Licence: TX R29608) | |
| 2471C3402X Radiologic Technologist, Radiography (Licence: TX R29608) | |
| 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging | |
| 293D00000X Physiological Laboratory | |
| 291U00000X Clinical Medical Laboratory (Licence: TX 45D1103817) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2011-06-15 |