Organization Name: | ADVANCED NORTH TEXAS DIAGNOSTICS |
NPI Number: | 1104227917 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TINA YORK (PRESIDENT) |
Mailing Address: | 9133 Belshire Dr North Richland Hills |
State: | TX US |
Postal Code: | 761827691 |
Phone Number: | 8177708260 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2014 |
NPI Last Update Date: | 09/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZE0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Electroneurodiagnostic |
Taxonomy Definition: |