VIGILANT IMAGING AND PAIN SUITES PA NPI 1124551759

NPI Information

NPI: 1124551759
Provider Name: VIGILANT IMAGING AND PAIN SUITES, PA
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
8865 DAVIS BLVD
SUITE 100A
KELLER, TX
ZIP 76248
Phone: (832) 969-2784
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VIGILANT IMAGING AND PAIN SUITES, PA is a radiology clinic center in Keller, TX. VIGILANT IMAGING AND PAIN SUITES, PA NPI is 1124551759. The provider is registered as an organization entity type.

The provider's business location address is:

8865 DAVIS BLVD
SUITE 100A
KELLER, TX
ZIP 76248-322
Phone: (832) 969-2784
Fax: (469) 250-4880

The provider's authorized official is Reginald James Newsome .
The authorized official title is Ceo and has the following contact phone number (832) 969-2784.

The enumeration date for this NPI number is 4/11/2017 and was last updated on 4/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology	M8869	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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