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Organization
USMD DIAGNOSTIC SERVICES, LLC
Active
Organization
USMD DIAGNOSTIC SERVICES, LLC
Active
Parent organization
USMD HOLDINGS, INC
Other names
USMD Imaging Center at Clearfork
Organization subpart
Yes
Provider details
NPI number
Legal business name
USMD HOLDINGS, INC
Authorized official
DR. RICHARD COLEMAN JOHNSTON M.D. (CHIEF EXECUTIVE OFFICER)
(214) 493-4015
Entity
Organization
Contact information
Practice address
5450 CLEARFORK MAIN ST, SUITE 110, FORT WORTH, TX 76109-3559
(817) 505-0222
(817) 510-3690
Mailing address
5450 CLEARFORK MAIN ST, SUITE 110, FORT WORTH, TX 76109-3559
(817) 505-0222
(817) 510-3690
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Enumeration date
04/26/2017
Last updated
05/20/2022
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