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Boulevard Diagnostic Mgmt Group
Radiology Clinic/Center in Southlake, Texas
NPI 1922343342

Boulevard Diagnostic Mgmt Group is a Radiology Clinic/Center based in Southlake, TX and is specialized in Radiology. Boulevard Diagnostic Mgmt Group practices in Southlake, TX. The NPI Number for Boulevard Diagnostic Mgmt Group is 1922343342 and holds a License No. (Texas).

The current practice location address for Boulevard Diagnostic Mgmt Group is 3120 W Southlake Blvd # 140, Southlake, TX and can be reached out via phone at 817-741-0808 and via fax at 817-741-0841.

Location: 3120 W Southlake Blvd # 140, Southlake, TX, 76092-6783
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922343342
Provider Name
Boulevard Diagnostic Mgmt Group
Credential
Provider Entity Type
Organization
Address
3120 W Southlake Blvd # 140, Southlake, TX, 76092-6783
Phone Number
817-741-0808
Fax Number
817-741-0841
Provider Enumeration Date
12/11/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3120 W Southlake Blvd # 140
City
Southlake
State
Texas
Zip
76092-6783
Phone Number
817-741-0808
Fax Number
817-741-0841
person
Provider Business Mailing Address Details
Address
3120 W Southlake Blvd # 140
City
Southlake
State
Texas
Zip
76092-6783
Phone Number
817-741-0808
Fax Number
817-741-0841
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
()
Definition
Definition to come...
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