| NPI | 1982956033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM ST VIGNE Adminstrator 936-520-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: TX R28478) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2013-03-07 |