Organization · Type 2 NPI
Boulevard Diagnostic Management Group, LLC
Magnetic Resonance Imaging (MRI) Clinic/Center · Southlake, TX
NPI number
1194061135
Active
Practice location
3120 W Southlake Blvd
Southlake, TX 76092-6783
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center Primary | 261QM1200X | None listed |
Magnetic Resonance Imaging (MRI) Clinic/Center: Definition to come...
8 other providers at this address
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- Allison Andrews, NP, FAMILYFamily Nurse Practitioner Southlake, TX NPI 1538520770
- Timothy Chapman, DCChiropractor Southlake, TX NPI 1356273346
About NPI 1194061135
Boulevard Diagnostic Management Group, LLC's National Provider Identifier is 1194061135, issued on Dec 19, 2012. The primary taxonomy on file is Magnetic Resonance Imaging (MRI) Clinic/Center (261QM1200X), and the practice location is in Southlake, TX. The record was last updated on Dec 19, 2012.