| NPI | 1558513655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN KANEWSKE Dir. PT. Acct. 469-398-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2010-08-23 |