Organization
WHITE ROCK RADIOLOGY ASSOCIATES, L.L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH TARBET LEONE M.D. (OFFICER)
(972) 216-4411
Entity
Organization
Contact information
Practice address
10935 ESTATE LN, #S126, DALLAS, TX 75238-2316
(972) 216-4411
(972) 216-7346
Mailing address
PO BOX 180065, DALLAS, TX 75218-0065
(972) 216-4411
(972) 216-7346
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083574601
—
TX
01
—
CS3814
PALMETTO RAILROAD MEDICARE
TX
01
—
K83D
BC BS TEXAS
TX
Enumeration date
08/29/2006
Last updated
09/14/2010
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