| NPI | 1942289855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA A POSADA Administrator 469-361-2930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: TX R29511) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX R29511) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2007-09-24 |