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Organization

GCS DIAGNOSTICS LLC

Active
Other names
Grapevine Imaging
Organization subpart
No

Provider details

NPI number
Authorized official
ANNA DANIELLE GARTRELL (AUTHORIZED OFFICIAL)
(501) 580-8352
Entity
Organization

Contact information

Practice address
2401 IRA E WOODS AVE STE 600, GRAPEVINE, TX 76051-8631
(817) 488-9991
Mailing address
251 E SOUTHLAKE BLVD STE 110, SOUTHLAKE, TX 76092-6298
(817) 337-3433

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary

Other

Enumeration date
02/24/2022
Last updated
10/31/2023
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