| NPI | 1669731535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK KANADY Medical Director 936-439-4828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: TX 239294) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-08-29 |