| NPI | 1972743003 |
|---|---|
| Doing Business As | BLUEBONNET DIAGNOSTIC AND 3D IMAGING CENTER |
| Entity Type | Organization |
| Authorized Contact | SUZANNE K FABRY Owner 512-310-7177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-05-21 |