| Organization Name: | TEXARKANA PET/CT IMAGING INSTITUTE, L.P. |
| NPI Number: | 1053334441 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER KING (PRESIDENT) |
| Mailing Address: | 1929 Moores Ln Texarkana |
| State: | TX US |
| Postal Code: | 755034612 |
| Phone Number: | 9037941994 |
| Fax Number: | 9037941996 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 12/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | L05495 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |