| NPI | 1568408078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA TILDEN Mgr 806-358-7149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: TX R13716) |
| Additional Taxonomies | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: TX R13716) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2008-11-13 |