# TRAIL BLAZER DIAGNOSTICS

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

## Provider details

- **NPI number:** 1336271097
- **Authorized official:** MR. SHARON MARTIN (V.P. OF OPERATIONS)
- **Authorized official phone:** (281) 395-4121

## Contact information

- **Practice address:** 221 W COLORADO BLVD, \#925, DALLAS, TX 75208-2363
- **Practice address phone:** (281) 395-4121
- **Mailing address:** 1795 N FRY RD, \#335, KATY, TX 77449-3347
- **Mailing address phone:** (281) 395-4121

## Taxonomy

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

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 08/22/2020