Boulevard Diagnostic Mgmt Group
NPI #1922343342 in Southlake, Texas
Provider Information
- NPI Number
- 1922343342
- Entity Type
- Organization
- Organization Name
- Boulevard Diagnostic Mgmt Group
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Dec 11, 2012
- Last Updated
- Dec 11, 2012
Practice Location
Authorized Official
- Name
- JAMES WALLER
- Title
- OPERATIONS MANAGER
- Phone
- (817) 741-0808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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