Basic Information
| Provider Information | |||||||||
| NPI: | 1437560752 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | POST OAK IMAGING LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 674280 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752674280 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9724791115 | ||||||||
| FaxNumber: | 9723468015 | ||||||||
| Practice Location | |||||||||
| Address1: | 4851 S INTERSTATE 35 E | ||||||||
| Address2: | C105 | ||||||||
| City: | CORINTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 762102348 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9402705110 | ||||||||
| FaxNumber: | 9402705115 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/09/2014 | ||||||||
| LastUpdateDate: | 05/09/2014 | ||||||||
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| AuthorizedOfficialLastName: | ADAMS | ||||||||
| AuthorizedOfficialFirstName: | AMY | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9723626909 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR0200X | N | Ambulatory Health Care Facilities | Clinic/Center | Radiology | 261QM1200X | Y | Ambulatory Health Care Facilities | Clinic/Center | Magnetic Resonance Imaging (MRI) |
No ID Information.