| NPI | 1912208794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LEE HARRIS Insurance Manager 972-375-1169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-12-14 |