| Organization Name: | HOME CARE X-RAY SERVICE, INC. |
| NPI Number: | 1932302049 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL A GREEN (PRESIDENT) |
| Mailing Address: | 207 Buckingham Pl Hewitt |
| State: | TX US |
| Postal Code: | 766434204 |
| Phone Number: | 2546666192 |
| Fax Number: | 2546666198 |
| NPI Enumeration Date: | 06/06/2007 |
| NPI Last Update Date: | 08/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471C3402X |
| License Number: | R14566 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Radiography |
| Taxonomy Definition: | |