# BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baylor Diagnostic Imaging Center - Keller
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467793075
- **Authorized official:** JAMES MCGEE (EXECUTIVE ASSISTANT)
- **Authorized official phone:** (214) 820-7808

## Contact information

- **Practice address:** 601 S MAIN ST, SUITE 100, KELLER, TX 76248-7029
- **Practice address phone:** (817) 482-2000
- **Mailing address:** 601 S MAIN ST, SUITE 100, KELLER, TX 76248-7029
- **Mailing address phone:** (817) 482-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | R01024 | TX | Yes |

## Other

- **Enumeration date:** 03/06/2013
- **Last updated:** 03/06/2013