Healthcare Provider Details

I. General information

NPI: 1891106118
Provider Name (Legal Business Name): HARWOOD IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2014
Last Update Date: 05/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 W HARWOOD RD SUITE 100
HURST TX
76054-3289
US

IV. Provider business mailing address

PO BOX 674303
DALLAS TX
75267-4303
US

V. Phone/Fax

Practice location:
  • Phone: 817-788-5502
  • Fax:
Mailing address:
  • Phone: 972-479-1115
  • Fax: 972-346-8015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMY ADAMS
Title or Position: MANAGER
Credential:
Phone: 469-362-6909