Organization
CONSULTANTS IN RADIOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARLEE LEBLEU (VICE PRESIDENT)
(480) 321-7026
Entity
Organization
Contact information
Practice address
1845 PRECINCT LINE RD, STE. 209, HURST, TX 76054-3179
(817) 200-7581
(817) 336-7637
Mailing address
PO BOX 208509, DALLAS, TX 75320-8509
(817) 200-7581
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112624501
—
TX
01
—
P00867267
MEDICARE RR
—
Enumeration date
06/24/2006
Last updated
07/12/2024
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