Organization
PRIME DIAGNOSTIC IMAGING OF FORT WORTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS HELLMAN (OWNER)
(214) 341-8770
Entity
Organization
Contact information
Practice address
6491 SOUTHWEST BLVD., BENBROOK, TX 76132
(214) 341-8770
(214) 341-1603
Mailing address
PO BOX 821868, DALLAS, TX 75382-1868
(214) 341-8770
(214) 341-1603
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
12/16/2016
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