Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jul 15, 2009
License(s)
Q7309 (TX), MT195682 (PA), 6428 (NE), 261956 (MA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 5323 HARRY HINES BLVD | Dallas, TX 75390-9257 | 214-633-4423 |
| MAILING | PO BOX 844658 | Dallas, TX 75284-4658 | 254-724-2111 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.