| NPI | 1790724565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OUMA PERSAUD Credentialing Coordinator 903-723-6138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2022-09-14 |