| NPI | 1710120258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BLACKMON CFO 580-355-8699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL 115285) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2013-06-07 |