| NPI | 1982069332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIETEL VIERA Manager 832-310-8119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |