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Organization
RADIOLOGY ASSOCIATES OF NORTH TEXAS PA
Active
Organization
RADIOLOGY ASSOCIATES OF NORTH TEXAS PA
Active
Other names
Pennsylvania Avenue Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A QUERALT MD (PRESIDENT)
(817) 321-0312
Entity
Organization
Contact information
Practice address
1320 S UNIVERSITY DR STE 500, FORT WORTH, TX 76107-5732
(817) 321-0391
Mailing address
1320 S UNIVERSITY DR STE 500, FORT WORTH, TX 76107-5732
(817) 321-0391
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
TX
2085N0700X
Neuroradiology Physician
—
TX
2085N0904X
Nuclear Radiology Physician
—
TX
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
TX
2085R0204X
Vascular & Interventional Radiology Physician
—
TX
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121715001
—
TX
05
—
121715002
—
TX
Enumeration date
12/11/2006
Last updated
09/24/2025
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