Fort Worth I Enterprises, LLC DBA Healthy Images of Texas

NPI #1144411570 in Fort Worth, Texas

Provider Information

NPI Number: 1144411570
Entity Type: Organization
Organization Name: Fort Worth I Enterprises, LLC DBA Healthy Images of Texas
Primary Specialty: Physiological Laboratory
Enumeration Date: Aug 9, 2007
Last Updated: Aug 9, 2007

Practice Location

Address: 4150 INTERNATIONAL PLZ STE 600
City: Fort Worth
State: Texas
ZIP Code: 76109-4831
Phone: (512) 992-7712

Authorized Official

Name: MR. GARY BLAKE
Title: PRESIDENT
Phone: (512) 992-7712

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physiological Laboratory	293D00000X	Primary

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