| NPI | 1740924349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY R MCGILL Credentialing Manager 214-558-1038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0206X Clinic/Center, Radiology, Mammography | |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2022-04-21 |