| NPI | 1962825760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS A VAN METER Partner 469-458-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX J4583) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2020-06-02 |