Organization
GRAPEVINE RADIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT F WOOMER MD (AUTHORIZED SIGNER)
(817) 488-7546
Entity
Organization
Contact information
Practice address
6957 W PLANO PKWY, SUITE 1100, PLANO, TX 75093-1620
(972) 395-7533
Mailing address
PO BOX 740968, DALLAS, TX 75374-0968
(800) 563-2964
(770) 237-4847
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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