| NPI | 1689053977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA EARHART Director 832-978-5611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other |
| 2471C3402X Radiologic Technologist, Radiography | |
| 2471S1302X Radiologic Technologist, Sonography | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |