| NPI | 1952694234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK G BROOKS Radiologist 817-274-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: TX D2754) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-06-01 |