| NPI | 1790714087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE L TROCKO Contract Administrator 281-453-7917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2007-10-18 |