# ECLIPSE MEDICAL MANAGEMENT LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1164808325
- **Authorized official:** MR. GAIL S MAYFIELD (CEO)
- **Authorized official phone:** (817) 479-0800

## Contact information

- **Practice address:** 5750 RUFE SNOW DR STE 108, NRH, TX 76180
- **Practice address phone:** (817) 479-0800
- **Practice address fax:** (817) 479-0801
- **Mailing address:** 6805 NE LOOP 820 STE 407, NRH, TX 76180
- **Mailing address phone:** (817) 581-4354
- **Mailing address fax:** (817) 581-4364

## Taxonomy

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

## Other

- **Enumeration date:** 08/10/2015
- **Last updated:** 08/10/2015