| NPI | 1649018011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAKASH KRISHNARAJ Administrator 214-762-9084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |