Organization
NORTH TEXAS RADIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A BAKER DO (PRESIDENT)
(817) 738-6571
Entity
Organization
Contact information
Practice address
3712 W 7TH STREET, SUITE A, FORT WORTH, TX 76107
(817) 738-6571
(817) 738-6573
Mailing address
PO BOX 1888, GREENVILLE, TX 75403
(800) 945-2455
(903) 453-2541
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176181901
—
TX
Enumeration date
06/08/2006
Last updated
05/14/2008
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