NPI Code Details Logo

NPI 1144567652

NPI 1144567652 : METROPLEX RADIOLOGY PLLC : MESQUITE, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1144567652
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    METROPLEX RADIOLOGY PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/04/2013
-----------------------------------------------------
    Last Update Date     |    12/13/2013
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    908 BROWNFIELD DR 
-----------------------------------------------------
    City                 |    MESQUITE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75150-4359
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    214-782-9222
-----------------------------------------------------
    Fax                  |    214-782-9333
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    908 BROWNFIELD DR 
-----------------------------------------------------
    City                 |    MESQUITE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75150-4359
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    214-782-9222
-----------------------------------------------------
    Fax                  |    214-782-9333
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |    DR. GEORGE  FARLEY 
-----------------------------------------------------
    Credential           |    M.D.
-----------------------------------------------------
    Telephone            |    214-782-9222
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2085N0904X
-----------------------------------------------------
    Taxonomy Name        |    Nuclear Radiology Physician
-----------------------------------------------------
    License Number       |    12065
-----------------------------------------------------
    License Number State |    NE
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.