| NPI | 1770953408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHAN SANDERS Owner 281-773-2018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2016-11-09 |