| NPI | 1588968077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA HOUSTON President 469-269-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2025-11-09 |