Organization
TRAIL BLAZER DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHARON MARTIN (V.P. OF OPERATIONS)
(281) 395-4121
Entity
Organization
Contact information
Practice address
221 W COLORADO BLVD, #925, DALLAS, TX 75208-2363
(281) 395-4121
Mailing address
1795 N FRY RD, #335, KATY, TX 77449-3347
(281) 395-4121
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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