Organization
VISIONARY MEDICAL IMAGING LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE VINCENT MD (CEO)
(903) 870-1767
Entity
Organization
Contact information
Practice address
1103 SARA SWAMY DR, SHERMAN, TX 75090-1779
(469) 757-1000
Mailing address
PO BOX 640, SHERMAN, TX 75091-0640
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180153201
—
TX
Enumeration date
03/28/2006
Last updated
03/20/2008
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