| NPI | 1811108814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PITTMON Administrator 903-663-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX J4109) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2012-03-09 |