Organization
E PLUS PET IMAGING V LP
Active
Other names
PET Imaging of Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RHYMER (COO OF GENERAL PARTNER)
(615) 467-7415
Entity
Organization
Contact information
Practice address
8333 DOUGLAS AVE, SUITE C-20, DALLAS, TX 75225-5845
(214) 373-4200
(214) 373-4204
Mailing address
8333 DOUGLAS AVE, SUITE C-20, DALLAS, TX 75225-5845
(214) 373-4200
(214) 373-4204
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0371DC
BLUE CROSS/BLUE SHIELD
TX
01
—
P00072932
RRMEDICARE
—
Enumeration date
05/18/2006
Last updated
06/16/2010
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