Organization
STANDUP MRI OF AMERICA II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL SMITH (PRESIDENT)
(817) 537-5100
Entity
Organization
Contact information
Practice address
14320 MIDWAY RD, SUITE 100, DALLAS, TX 75244-3502
(972) 361-0674
Mailing address
121 NE LOOP 820, SUITE 200, HURST, TX 76053-7375
(817) 537-5100
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163082401
—
TX
Enumeration date
01/24/2007
Last updated
06/24/2009
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