Boulevard Diagnostic Management Group, LLC
NPI #1194061135 in Southlake, Texas
Provider Information
- NPI Number
- 1194061135
- Entity Type
- Organization
- Organization Name
- Boulevard Diagnostic Management Group, LLC
- Primary Specialty
- Clinic/Center - Magnetic Resonance Imaging (MRI)
- Enumeration Date
- Dec 19, 2012
- Last Updated
- Dec 19, 2012
Practice Location
Authorized Official
- Name
- MR. JAMES AUBREY WALLER
- Title
- MANAGING MANAGER
- Phone
- (817) 528-7044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Magnetic Resonance Imaging (MRI) — Magnetic Resonance Imaging (MRI) |
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