Organization
ECLIPSE MEDICAL MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAIL S MAYFIELD (CEO)
(817) 479-0800
Entity
Organization
Contact information
Practice address
2401 IRA E WOODS AVE STE 600, GRAPEVINE, TX 76051-8631
(817) 488-9991
(817) 488-9992
Mailing address
5750 RUFE SNOW DR STE 108, NORTH RICHLAND HILLS, TX 76180-6140
(817) 479-0800
(817) 479-0801
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2015
Last updated
08/05/2015
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