| NPI | 1821843897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN TD NGUYEN Owner / Provider 405-601-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-10-08 |