Organization
VANGUARD IMAGING AND INFUSION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN RAY WYANT MD (SOLE OWNER)
(214) 714-8603
Entity
Organization
Contact information
Practice address
17766 VERDE PARKWAY, SUITE 220, SCHERTZ, TX 78154
(214) 714-8603
Mailing address
9402 VINEWOOD DR, DALLAS, TX 75228-4176
(214) 714-8603
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Enumeration date
05/08/2025
Last updated
05/20/2025
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