Organization
SOUTHLAKE RADIOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJESH GOGIA MD (OWNER/RADIOLOGIST)
(214) 502-8517
Entity
Organization
Contact information
Practice address
707 HIGHLANDER BLVD, ARLINGTON, TX 76015-4319
(214) 502-8517
(214) 242-2105
Mailing address
902 TURNBERRY LN, SOUTHLAKE, TX 76092-4214
(214) 502-8517
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/16/2010
Last updated
06/07/2013
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