Organization
GRAPEVINE RADIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WOOMER (MD)
(817) 488-7546
Entity
Organization
Contact information
Practice address
708 ANNESLIE RD, BALTIMORE, MD 21212-2001
(410) 377-0368
Mailing address
PO BOX 740968, DALLAS, TX 75374-0968
(800) 563-2964
(903) 453-2541
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/26/2008
Last updated
05/14/2008
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