| NPI | 1710731138 |
|---|---|
| Doing Business As | ENVISION IMAGING ROCKWALL |
| Entity Type | Organization |
| Authorized Contact | ANDREW BENSON Cro 719-955-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| 261QR0206X Clinic/Center, Radiology, Mammography | |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |