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General NPI Number Information
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NPI Number | 1164470845
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Entity Type | Organization
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Legal Business Name | RADCARE OF TEXAS PLLC
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 09/25/2019
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Provider Practice Location Address
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Address Line | 1500 S MAIN ST
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City | FORT WORTH
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State | TX
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Zip | 76104
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Country | US
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Telephone | 817-921-3431
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Fax | 214-712-2487
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Provider Business Mailing Address
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Address Line | 13737 NOEL RD SUITE 1600
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City | DALLAS
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State | TX
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Zip | 75240-1331
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Country | US
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Telephone | 866-428-1720
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Fax | 214-712-2487
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Authorized Official
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Title or Position | OFFICER
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Name | KATHY KONDAS
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Credential |
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Telephone | 954-838-2371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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