| NPI | 1942424452 |
|---|---|
| Doing Business As | DIAGNOSTIC PAVILION |
| Entity Type | Organization |
| Authorized Contact | ALAN IRA ETTINGER CFO/President 817-877-3054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology (Licence: TX R29901) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2012-03-05 |