| NPI | 1962648063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HOMER FAUST President / Nuclear Medicine Techno 817-688-8849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX 13410) |
| Enumeration Date | 2008-12-20 |
| Last Update Date | 2008-12-20 |