| NPI | 1710390463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY C GUEST CEO 469-955-4427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2019-11-01 |