| NPI | 1548626997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHAN SANDERS Owner 281-305-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: TX 801769242) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |