NPI 1144411570

Fort Worth I Enterprises, LLC Dba Healthy Images of Texas

Organisation Physiological Laboratory Fort Worth, TX

Practice location

Address: 4150 International Plz STE 600, Fort Worth, TX 76109-4831
Phone: (512) 992-7712
Fax: (512) 262-0869

Authorised official

Name: Gary Blake
Title: President
Phone: (512) 992-7712

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Texas →

Registry record

NPI: 1144411570
Entity type: Organization
NPI issued: 9 Aug 2007
Record last updated: 9 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.