NPI | 1699267807 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN PEPRAH President / CEO 832-920-3339 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: TX 176476) |
Enumeration Date | 2018-06-04 |
Last Update Date | 2018-06-04 |