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Organization

ENVISION IMAGING OF NORTH FORT WORTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFF JONES (PARTNER)
(719) 955-4332
Entity
Organization

Contact information

Practice address
4232 HERITAGE TRACE PKWY, FORT WORTH, TX 76244-5375
(817) 741-0008
(817) 741-3908
Mailing address
8610 EXPLORER DR, 300, COLORADO SPRINGS, CO 80920-1058
(719) 955-4140
(719) 955-4148

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
192555401
TX
Enumeration date
01/24/2007
Last updated
11/25/2009
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