| NPI | 1790033991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESA DANLEY Owner 214-690-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 204F00000X Transplant Surgery |
| 2085N0904X Radiology Nuclear Radiology | |
| 2085P0229X Radiology Pediatric Radiology | |
| 2085R0001X Radiology Radiation Oncology | |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| 208600000X Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2012-08-17 |