Organization
CLINICS OF NORTH TEXAS LLP
Active
Parent organization
CLINICS OF NORTH TEXAS LLP
Other names
Clinics of North Texas, LLP - Radiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLINICS OF NORTH TEXAS LLP
Authorized official
DR. MICHAEL AGYEPONG MD (PRESIDENT)
(940) 397-5490
Entity
Organization
Contact information
Practice address
501 MIDWESTERN PKWY E, WICHITA FALLS, TX 76302-2302
(940) 766-3551
Mailing address
501 MIDWESTERN PKWY E, ATTN: TRACEY TERRELL, WICHITA FALLS, TX 76302-2302
(940) 766-3551
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124007760
—
TX
Enumeration date
01/12/2006
Last updated
06/12/2024
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