| NPI | 1629538491 | 
|---|---|
| Doing Business As | ASCENSION MEDICAL GROUP IMAGING | 
| Entity Type | Organization | 
| Authorized Contact | PHILIS MAHON Director 512-324-5837 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology | 
| Enumeration Date | 2019-03-20 | 
| Last Update Date | 2019-03-20 |