Organization · Type 2 NPI

Vista Pem Providers, LLC

Radiology Clinic/Center · Plano, TX

NPI number 1225359367 Active

Practice location

5072 W Plano Pkwy, Suite 190
Plano, TX 75093-4476

Fax (972) 479-1118

Mailing address

PO Box 678282
Dallas, TX 75267-8282

Specialties and licenses

TaxonomyCodeLicense
Radiology Clinic/Center Primary 261QR0200XNone listed
Oncology Clinic/Center 261QX0200XNone listed

Radiology Clinic/Center: Definition to come...

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About NPI 1225359367

Vista Pem Providers, LLC's National Provider Identifier is 1225359367, issued on Jun 11, 2010. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Plano, TX. The record was last updated on Jan 19, 2018.