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1922343342
BOULEVARD DIAGNOSTIC MGMT GROUP
SOUTHLAKE, TX
NPI
1922343342
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Entity Type
Organization
Authorized Contact
JAMES WALLER
Operations Manager
817-741-0808
Organization Subpart ?
No
Primary Taxonomy
261QR0200X Clinic/Center, Radiology
Enumeration Date
2012-12-11
Last Update Date
2012-12-11
Business Address
BOULEVARD DIAGNOSTIC MGMT GROUP
3120 W SOUTHLAKE BLVD # 140
SOUTHLAKE, TX 76092-6783
Phone number: 817-741-0808
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Mailing Address
BOULEVARD DIAGNOSTIC MGMT GROUP
3120 W SOUTHLAKE BLVD # 140
SOUTHLAKE, TX 76092-6783
Phone number:
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