Organization
CLINICAL CARE IN RADIOLOGY
Active
Parent organization
RADIOLOGY ASSOCIATES OF NORTH TEXAS PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
RADIOLOGY ASSOCIATES OF NORTH TEXAS PA
Authorized official
RACHEL MAITLAND (CREDENTIALING SUPERVISOR)
(817) 321-0937
Entity
Organization
Contact information
Practice address
1622 8TH AVE STE 120, FORT WORTH, TX 76104-4155
(817) 321-0404
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3146
(817) 321-0404
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
04/17/2024
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