| NPI | 1942234992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL H RODRIGUEZ Provider 972-523-6815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: TX 5810) |
| Additional Taxonomies | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-07-18 |