# ETHEL SHADE DBA SURE SHOT X-RAY MOBILE X-RAY SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1497930630
- **Authorized official:** MS. ETHEL SHADE RT (OWNER)
- **Authorized official phone:** (972) 822-9292

## Contact information

- **Practice address:** 7310 S WESTMORELAND RD STE 11, DALLAS, TX 75237-3015
- **Practice address phone:** (972) 822-9292
- **Practice address fax:** (972) 298-1137
- **Mailing address:** 7310 S WESTMORELAND RD STE 11, DALLAS, TX 75237-3015
- **Mailing address phone:** (972) 822-9292
- **Mailing address fax:** (972) 298-1137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | R31722 | TX | Yes |

## Other

- **Enumeration date:** 01/07/2008
- **Last updated:** 12/15/2008