| NPI | 1588235436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALLAS L BROADWAY Medical Director 210-465-7015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2022-08-11 |