| NPI | 1598788481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK EISON Owner 731-925-0056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471B0102X Radiologic Technologist, Bone Densitometry (Licence: TN MDX4569) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |