# ECLIPSE MEDICAL MANAGEMENT LLC

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

## Provider details

- **NPI number:** 1578948386
- **Authorized official:** MR. GAIL S MAYFIELD (CEO)
- **Authorized official phone:** (817) 479-0800

## Contact information

- **Practice address:** 2401 IRA E WOODS AVE STE 600, GRAPEVINE, TX 76051-8631
- **Practice address phone:** (817) 488-9991
- **Practice address fax:** (817) 488-9992
- **Mailing address:** 5750 RUFE SNOW DR STE 108, NORTH RICHLAND HILLS, TX 76180-6140
- **Mailing address phone:** (817) 479-0800
- **Mailing address fax:** (817) 479-0801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/22/2015
- **Last updated:** 08/05/2015