Individual provider · Type 1 NPI

Kim A. Iglesia, MD

Diagnostic Radiology Physician · Fort Worth, TX

NPI number 1689654097 Active

Practice location

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Call (817) 321-0312 Map

Fax (817) 317-7033

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3146

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician 2085B0100XH6309 (TX)
Neuroradiology Physician 2085N0700XH6309 (TX)
Nuclear Radiology Physician 2085N0904XH6309 (TX)
Pediatric Radiology Physician 2085P0229XH6309 (TX)
Diagnostic Radiology Physician Primary 2085R0202XH6309 (TX)
Vascular & Interventional Radiology Physician 2085R0204XH6309 (TX)
Diagnostic Ultrasound Physician 2085U0001XH6309 (TX)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1689654097

Kim A. Iglesia, MD's National Provider Identifier is 1689654097, issued on Jan 20, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 15, 2012.