| NPI | 1578589503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES H DICKERSON Owner 903-596-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: TX 6309) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2014-06-30 |