| NPI | 1891717799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E. FANCHER Owner 940-761-2882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: TX 45-X0009901) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2008-06-27 |