MEDICARE: CORINTH NUCLEAR IMAGING RESOURCE PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207L00000X	Anesthesiology Physician
2	207RC0000X	Cardiovascular Disease Physician
3	207RH0003X	Hematology & Oncology Physician
4	207U00000X	Nuclear Medicine Physician
5	2084N0400X	Neurology Physician
6	2085R0202X	Diagnostic Radiology Physician
7	2085R0203X	Therapeutic Radiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8B0090	OTHER	TX	BC IND
2	0098GH	OTHER	TX	BC GR

General Provider Information

NPI Number	:	1295753929
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORINTH NUCLEAR IMAGING RESOURCE PLLC

Provider Business Mailing Address
First Line	:	6505 W PARK BLVD
Second Line	:	306-262
City	:	PLANO
State	:	TX
Zip	:	75093-6208
Country	:	US
Telephone Number	:	214-734-0232
Fax Number	:

Provider Business Practice Location Address
First Line	:	4851 S INTERSTATE 35 E
Second Line	:	SUITE 101
City	:	CORINTH
State	:	TX
Zip	:	76210-2348
Country	:	US
Telephone Number	:	940-270-5000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROGER RUSSELL GOOD
Credential	:	M.D.
Telephone Number	:	214-734-0232

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	09/11/2025

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