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Organization

VIGILANT IMAGING AND PAIN SUITES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. REGINALD JAMES NEWSOME MD (CEO)
(832) 969-2784
Entity
Organization

Contact information

Practice address
8865 DAVIS BLVD, SUITE 100A, KELLER, TX 76248-0322
(832) 969-2784
(469) 250-4880
Mailing address
2220 CANTON ST, SUITE 211, DALLAS, TX 75201-5923
(832) 969-2784
(469) 250-4880

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
M8869
TX

Other

Enumeration date
04/11/2017
Last updated
04/11/2017
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