| NPI | 1861541047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKSON JACOB General Manager 214-328-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-10-08 |