# ENVISION DIAGNOSTIC ULTRASOUND IMAGING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Envision Diagnostic Ultrasound Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306039078
- **Authorized official:** LUTHER HOUSTON (CEO)
- **Authorized official phone:** (214) 951-5151

## Contact information

- **Practice address:** 3125 S CARRIER PKWY, SUITE A, GRAND PRAIRIE, TX 75052-3735
- **Practice address phone:** (972) 262-9000
- **Practice address fax:** (972) 262-9306
- **Mailing address:** PO BOX 542767, GRAND PRAIRIE, TX 75054-2767
- **Mailing address phone:** (214) 951-5151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |
| 261QR0208X | Mobile Radiology Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 08/24/2007
- **Last updated:** 03/05/2012