Provider Demographics
NPI:1497085237
Name:RADIOLOGICAL CONSULTANTS ASSOCIATION
Entity Type:Organization
Organization Name:RADIOLOGICAL CONSULTANTS ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:VANMETER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-420-5400
Mailing Address - Street 1:1750 N HAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-2306
Mailing Address - Country:US
Mailing Address - Phone:214-420-5400
Mailing Address - Fax:214-420-5401
Practice Address - Street 1:2210 BRYAN PL
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-7122
Practice Address - Country:US
Practice Address - Phone:972-775-7410
Practice Address - Fax:972-775-7401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-29
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty