Maxum Health Services Corp.

NPI #1780998922 in Ft Worth, Texas

Provider Information

NPI Number: 1780998922
Entity Type: Organization
Organization Name: Maxum Health Services Corp.
Primary Specialty: Clinic/Center - Radiology
Enumeration Date: Jul 29, 2010
Last Updated: Aug 20, 2012

Practice Location

Address: 1121 8TH AVE
City: Ft Worth
State: Texas
ZIP Code: 76104-4102
Phone: (817) 335-5370

Authorized Official

Name: JAMES F. STANLEY
Title: CHIEF FINANCIAL OFFICER; TREASURER
Phone: 94928260000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Radiology — Radiology	261QR0200X	Primary

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