| NPI | 1992410039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CAMACHO Owner 915-213-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-10-19 |