Bayside Radiology And Imaging Of Rowlett PLLC
Clinic/Center, Radiology in Rowlett, TX. Organization (NPI-2).
NPI number1861961815
StatusActive
Last updated in NPPESNov 20, 2018
Details
- NPI
- 1861961815
- Entity type
- Organization (NPI-2)
- Legal business name
- Bayside Radiology And Imaging Of Rowlett PLLC
- Organization subpart
- No
- Enumeration date
- Nov 20, 2018
- Last updated
- Nov 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0200X | Clinic/Center, Radiology | – | – | Yes |
Other names
- Bayside Radiology And Imaging (Doing Business As)
Practice location
4624 Lakeview PkwyRowlett, TX 75088-4027
Phone 972-840-2020 · Fax 972-694-0260
Mailing address
4624 Lakeview PkwyRowlett, TX 75088-4027
Phone 972-840-2020 · Fax 972-694-0260
Authorized official
Brad Boeke
Member
9728402020
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