| NPI | 1962182584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN IPPOLITO Manager 214-228-0701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
| 2085D0003X Radiology, Diagnostic Neuroimaging | |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |