| NPI | 1598647380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANI STEVEN THOMAS President 731-803-9176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2025-07-23 |