| NPI | 1851322473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM D CRUZ Facility Director 817-558-1940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology (Licence: TX R29470) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-10-11 |