Organization Name: | RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA |
NPI Number: | 1710970975 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID R PHELPS (PRESIDENT) |
Mailing Address: | 816 W Cannon St Credentialing 1710970975 Fort Worth |
State: | TX US |
Postal Code: | 761043146 |
Phone Number: | 8173210404 |
Fax Number: | 4695226889 |
NPI Enumeration Date: | 08/23/2005 |
NPI Last Update Date: | 01/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |