| NPI | 1649234493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE MARY PONDER Owner 903-893-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (Licence: TX R29074) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2007-10-19 |