| NPI | 1700228343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL G FISHER Owner 817-510-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy | |
| 2085N0904X Radiology, Nuclear Radiology | |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |