Organization
BDNT RADIOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI VENUGOPAL (DIRECTOR)
(817) 749-2001
Entity
Organization
Contact information
Practice address
2817 S MAYHILL RD STE 270, DENTON, TX 76208-5970
(817) 749-2001
(940) 483-1568
Mailing address
PO BOX 92038, SOUTHLAKE, TX 76092
(817) 749-2001
(940) 483-1568
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00627Z
MEDICARE GROUP NUMBER
TX
Enumeration date
03/12/2008
Last updated
02/06/2017
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