Organization
TIDC-IRVING, INC
Active
Other names
Texas Imaging & Diagnostic Center
Organization subpart
No
Provider details
NPI number
Authorized official
EMIL GEORGIO CERULLO (CEO)
(214) 357-5229
Entity
Organization
Contact information
Practice address
3636 N MACARTHUR BLVD, SUITE 170, IRVING, TX 75062-3637
(972) 255-9444
(972) 570-4664
Mailing address
3636 N MACARTHUR BLVD, SUITE 170, IRVING, TX 75062-3637
(972) 255-9444
(972) 570-4664
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R22410
TX
Other
Enumeration date
04/14/2006
Last updated
07/30/2007
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