Organization
ENVISION DIAGNOSTIC ULTRASOUND IMAGING
Active
Other names
Envision Diagnostic Ultrasound Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
LUTHER HOUSTON (CEO)
(214) 951-5151
Entity
Organization
Contact information
Practice address
3125 S CARRIER PKWY, SUITE A, GRAND PRAIRIE, TX 75052-3735
(972) 262-9000
(972) 262-9306
Mailing address
PO BOX 542767, GRAND PRAIRIE, TX 75054-2767
(214) 951-5151
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
Other
Enumeration date
08/24/2007
Last updated
03/05/2012
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