Healthcare Provider Details

I. General information

NPI: 1861551046
Provider Name (Legal Business Name): RADIOLOGY ASSOCIATES OF NORTH TEXAS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 S UNIVERSITY DR STE 500
FORT WORTH TX
76107-5732
US

IV. Provider business mailing address

1320 S UNIVERSITY DR STE 500
FORT WORTH TX
76107-5732
US

V. Phone/Fax

Practice location:
  • Phone: 817-321-0391
  • Fax:
Mailing address:
  • Phone: 817-321-0391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2085D0003X
TaxonomyDiagnostic Neuroimaging (Radiology) Physician
License Number
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code2085P0229X
TaxonomyPediatric Radiology Physician
License Number
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number StateTX

VIII. Authorized Official

Name: DR. JOHN A QUERALT
Title or Position: PRESIDENT
Credential: MD
Phone: 817-321-0312