Healthcare Provider Details

I. General information

NPI: 1255386751
Provider Name (Legal Business Name): RADIOLOGY OF NORTH TEXAS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 05/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 S FM 51
DECATUR TX
76234-3702
US

IV. Provider business mailing address

800 ROCKMEAD DR S:210
KINGWOOD TX
77339-2112
US

V. Phone/Fax

Practice location:
  • Phone: 281-359-7788
  • Fax: 281-359-7888
Mailing address:
  • Phone: 281-359-7788
  • Fax: 281-359-7888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY S KRANTZ
Title or Position: PRESIDENT
Credential: D.O.
Phone: 281-359-7788