Organization
METROPOLITAN RADIOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK DENNIS CONNALLY M.D. (PRESIDENT)
(214) 987-4601
Entity
Organization
Contact information
Practice address
10500 STEPPINGTON DR, SUITE 100A, DALLAS, TX 75230-4561
(214) 987-4601
(214) 987-4039
Mailing address
10500 STEPPINGTON DR, SUITE 100A, DALLAS, TX 75230-4561
(214) 987-4601
(214) 987-4039
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0804361
—
TX
01
—
DN8753
MEDICARE RAILROAD
TX
Enumeration date
03/29/2007
Last updated
03/13/2009
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