| NPI | 1669400131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMA M PHILLIPS Director Of Physician Billing 731-660-8737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology |
| 2085N0904X Radiology, Nuclear Radiology | |
| 2085P0229X Radiology, Pediatric Radiology | |
| 2085R0001X Radiology, Radiation Oncology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-08-22 |