Organization
DENTON VASCULAR LAB INC
Active
Other names
Denton Regional Vascular Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIKA J JOHLER RDCS (PRESIDENT/OWNER)
(940) 566-6666
Entity
Organization
Contact information
Practice address
3322 COLORADO BLVD STE 102, DENTON, TX 76210-6889
(940) 566-6666
(940) 387-3692
Mailing address
3322 COLORADO BLVD STE 102, DENTON, TX 76210-6889
(940) 566-6666
(940) 387-3692
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022DC
BLUE CROSS OF TEXAS
TX
05
—
088072602
—
TX
Enumeration date
07/25/2006
Last updated
10/21/2021
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