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Southlake Trophy Club Radiology
Diagnostic Radiology Physician in Trophy Club, Texas
NPI 1568403046

Southlake Trophy Club Radiology is a Diagnostic Radiology Physician based in Westlake, TX and is specialized in Diagnostic Radiology. Southlake Trophy Club Radiology practices in Trophy Club, TX. The NPI Number for Southlake Trophy Club Radiology is 1568403046 and holds a License No. L1091 (Texas).

The current practice location address for Southlake Trophy Club Radiology is 2800 South Highway 114, Trophy Club, TX and can be reached out via phone at 817-908-7810 and via fax at 206-337-0544.

Location: 2800 South Highway 114, Trophy Club, TX, 76262-9016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568403046
Provider Name
Southlake Trophy Club Radiology
Credential
Provider Entity Type
Organization
Address
2800 South Highway 114, Trophy Club, TX, 76262-9016
Phone Number
817-908-7810
Fax Number
206-337-0544
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2800 South Highway 114
City
Trophy Club
State
Texas
Zip
76726
Phone Number
817-908-7810
Fax Number
206-337-0544
person
Provider Business Mailing Address Details
Address
2800 South Highway 114
City
Trophy Club
State
Texas
Zip
76726
Phone Number
817-908-7810
Fax Number
206-337-0544
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
L1091 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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