# VIGILANT IMAGING AND PAIN SUITES, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124551759
- **Authorized official:** DR. REGINALD JAMES NEWSOME MD (CEO)
- **Authorized official phone:** (832) 969-2784

## Contact information

- **Practice address:** 8865 DAVIS BLVD, SUITE 100A, KELLER, TX 76248-0322
- **Practice address phone:** (832) 969-2784
- **Practice address fax:** (469) 250-4880
- **Mailing address:** 2220 CANTON ST, SUITE 211, DALLAS, TX 75201-5923
- **Mailing address phone:** (832) 969-2784
- **Mailing address fax:** (469) 250-4880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | M8869 | TX | Yes |

## Other

- **Enumeration date:** 04/11/2017
- **Last updated:** 04/11/2017