| NPI | 1720368251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A QUERALT President 817-321-0312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| 2085N0904X Radiology Nuclear Radiology | |
| 2085P0229X Radiology Pediatric Radiology | |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| 2085N0700X Radiology Neuroradiology | |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-09-16 |