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Tidc-grapevine, Inc
Diagnostic Radiology Physician in Grapevine, Texas
NPI 1689639205

Tidc-grapevine, Inc is a Diagnostic Radiology Physician based in Grapevine, TX and is specialized in Diagnostic Radiology. Tidc-grapevine, Inc practices in Grapevine, TX. The NPI Number for Tidc-grapevine, Inc is 1689639205 and holds a License No. R22410 (Texas).

The current practice location address for Tidc-grapevine, Inc is 5311 William D Tate Ave, Grapevine, TX and can be reached out via phone at 817-267-9500 and via fax at 817-545-9400.

Location: 5311 William D Tate Ave, Grapevine, TX, 76051-7365
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689639205
Provider Name
Tidc-grapevine, Inc
Credential
Provider Entity Type
Organization
Address
5311 William D Tate Ave, Grapevine, TX, 76051-7365
Phone Number
817-267-9500
Fax Number
817-545-9400
Provider Enumeration Date
04/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5311 William D Tate Ave
City
Grapevine
State
Texas
Zip
76051-7365
Phone Number
817-267-9500
Fax Number
817-545-9400
person
Provider Business Mailing Address Details
Address
5311 William D Tate Ave
City
Grapevine
State
Texas
Zip
76051-7365
Phone Number
817-267-9500
Fax Number
817-545-9400
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
R22410 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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