| NPI | 1992283485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEY MILLER Administrator 903-534-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine |
| Additional Taxonomies | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2023-04-12 |