| NPI | 1750089009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA RUTLEDGE CEO 936-648-5161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084D0003X Psychiatry & Neurology, Diagnostic Neuroimaging |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-02-16 |