# TELOS XRAY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Telos Diagnostics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972263010
- **Authorized official:** DONALD HART (OWNER)
- **Authorized official phone:** (817) 259-0395

## Contact information

- **Practice address:** 6975 DEER RUN DR, WATAUGA, TX 76137-6730
- **Practice address phone:** (817) 259-0395
- **Practice address fax:** (817) 766-7935
- **Mailing address:** 6975 DEER RUN DR, WATAUGA, TX 76137-6730
- **Mailing address phone:** (817) 259-0395
- **Mailing address fax:** (817) 766-7935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 12/29/2021
- **Last updated:** 12/29/2021