| NPI | 1942790423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WAYNE FRECKLETON Md/Manager/Owner 210-887-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |