MEDICARE: PRECISION INTERVENTIONAL AND IMAGING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	M9029	TX

General Provider Information

NPI Number	:	1093073066
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION INTERVENTIONAL AND IMAGING PLLC

Provider Business Mailing Address
First Line	:	9101 LYNDON B JOHNSON FWY
Second Line	:	SUITE 710
City	:	DALLAS
State	:	TX
Zip	:	75243-2057
Country	:	US
Telephone Number	:	972-792-5727
Fax Number	:	972-788-4707

Provider Business Practice Location Address
First Line	:	10501 N CENTRAL EXPY
Second Line	:	SUITE 200
City	:	DALLAS
State	:	TX
Zip	:	75231-2220
Country	:	US
Telephone Number	:	214-389-3200
Fax Number	:	214-389-3201

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JARYD STEIN
Credential	:	M.D.
Telephone Number	:	214-360-1535

Provider Enumeration Date	:	04/27/2012
Last Update Date	:	08/30/2012

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