Organization
ELITE VIEW IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A WALLER (MANAGER)
(817) 528-7044
Entity
Organization
Contact information
Practice address
3120 W SOUTHLAKE BLVD, SUITE 140, SOUTHLAKE, TX 76092-6783
(817) 741-0808
(817) 741-0841
Mailing address
3120 W SOUTHLAKE BLVD, SUITE 140, SOUTHLAKE, TX 76092-6783
(817) 741-0808
(817) 741-0841
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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