Organization
ULTRASOUND IMAGING CONCEPTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAKEBA WALLER (PRESIDENT/OWNER)
(817) 465-8439
Entity
Organization
Contact information
Practice address
5860 S COOPER ST STE 100, ARLINGTON, TX 76017-5100
(817) 465-8439
Mailing address
5860 S COOPER ST STE 100, ARLINGTON, TX 76017-5100
(817) 465-8439
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
42313
TX
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2017
Last updated
06/08/2022
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