Broad Park Imaging, LLC
NPI #1467782052 in Mansfield, Texas
Provider Information
- NPI Number
- 1467782052
- Entity Type
- Organization
- Organization Name
- Broad Park Imaging, LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Jan 5, 2010
- Last Updated
- Jan 5, 2010
Practice Location
Authorized Official
- Name
- JACKI BAILLEU, BS
- Title
- ADMINISTRATOR
- Phone
- (817) 690-8873
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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