Organization
MEDICAL IMAGING OF GRAPEVINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJESH GOGIA (PRESIDENT)
(214) 502-8157
Entity
Organization
Contact information
Practice address
3801 WILLIAM D TATE AVE, STE 800, GRAPEVINE, TX 76051-8755
(866) 333-8443
(866) 316-0080
Mailing address
2140 E SOUTHLAKE BLVD, STE L-426, SOUTHLAKE, TX 76092-6516
(866) 333-8443
(866) 316-0080
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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