Organization
BAYSIDE RADIOLOGY AND IMAGING OF ROWLETT PLLC
Active
Other names
Bayside Radiology and IMaging
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD BOEKE DDS (MEMBER)
(972) 840-2020
Entity
Organization
Contact information
Practice address
4624 LAKEVIEW PKWY, ROWLETT, TX 75088-4027
(972) 840-2020
(972) 694-0260
Mailing address
4624 LAKEVIEW PKWY, ROWLETT, TX 75088-4027
(972) 840-2020
(972) 694-0260
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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