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Organization

NUCARDIO IMAGING, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES HOMER FAUST MS, ARRT (PRESIDENT / NUCLEAR MEDICINE TECHNO)
(817) 688-8849
Entity
Organization

Contact information

Practice address
800 8TH AVE, SUITE 406, FORT WORTH, TX 76104-2601
(817) 688-8849
(817) 688-8849
Mailing address
6717 SUNDANCE CIR, JOSHUA, TX 76058-4545
(817) 688-8849
(817) 556-2204

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
13410
TX

Other

Enumeration date
12/20/2008
Last updated
12/20/2008
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