Healthcare Provider Details

I. General information

NPI: 1447732805
Provider Name (Legal Business Name): ZIPRAD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2018
Last Update Date: 09/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7750 N MACARTHUR BLVD STE 120-365
IRVING TX
75063
US

IV. Provider business mailing address

7750 N MACARTHUR BLVD STE 120-365
IRVING TX
75063
US

V. Phone/Fax

Practice location:
  • Phone: 855-947-7231
  • Fax:
Mailing address:
  • Phone: 855-947-7231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DUKE RICHARD PHAM
Title or Position: OFFICER
Credential: MD
Phone: 972-786-4806