Organization
TELOS XRAY, LLC
Active
Other names
Telos Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD HART (OWNER)
(817) 259-0395
Entity
Organization
Contact information
Practice address
6975 DEER RUN DR, WATAUGA, TX 76137-6730
(817) 259-0395
(817) 766-7935
Mailing address
6975 DEER RUN DR, WATAUGA, TX 76137-6730
(817) 259-0395
(817) 766-7935
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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