MEDICARE: DIAGNOSTIC HEALTH CENTERS OF TEXAS LIMITED PARTNERSHIP

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	293D00000X	Physiological Laboratory

General Provider Information

NPI Number	:	1396793840
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIAGNOSTIC HEALTH CENTERS OF TEXAS LIMITED PARTNERSHIP

Provider Business Mailing Address
First Line	:	2764 PELHAM PKWY
Second Line	:
City	:	PELHAM
State	:	AL
Zip	:	35124-1702
Country	:	US
Telephone Number	:	205-685-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	5455 BASSWOOD BLVD
Second Line	:	SUITE 550
City	:	FT WORTH
State	:	TX
Zip	:	76137-4476
Country	:	US
Telephone Number	:	817-428-5002
Fax Number	:	817-428-8101

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	SHERI MILLER
Credential	:
Telephone Number	:	205-685-5000

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	07/16/2008

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Directions to “DIAGNOSTIC HEALTH CENTERS OF TEXAS LIMITED PARTNERSHIP ” Practice Location

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