Organization Name: | RADIOLOGY ASSOCIATES OF NORTH TEXAS PA |
NPI Number: | 1851450969 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN A QUERALT (PRESIDENT) |
Mailing Address: | 525 E Southlake Blvd Southlake |
State: | TX US |
Postal Code: | 760926235 |
Phone Number: | 8173210312 |
Fax Number: | 8173177033 |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 08/31/2012 |
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. |