BOULEVARD DIAGNOSTIC MGMT GROUP

SOUTHLAKE, TX
NPI1922343342
Entity TypeOrganization
Authorized ContactJAMES WALLER
Operations Manager
817-741-0808
Organization Subpart ?No
Primary Taxonomy261QR0200X Clinic/Center, Radiology
Enumeration Date2012-12-11
Last Update Date2012-12-11
Business Address
BOULEVARD DIAGNOSTIC MGMT GROUP
3120 W SOUTHLAKE BLVD # 140
SOUTHLAKE, TX 76092-6783
Phone number: 817-741-0808
Mailing Address
BOULEVARD DIAGNOSTIC MGMT GROUP
3120 W SOUTHLAKE BLVD # 140
SOUTHLAKE, TX 76092-6783
Phone number: