Provider Demographics
NPI:1609311463
Name:RADIOLOGY CONSULTANTS NORTH TEXAS PLLC
Entity Type:Organization
Organization Name:RADIOLOGY CONSULTANTS NORTH TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARRELL
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DACBR
Authorized Official - Phone:817-572-2560
Mailing Address - Street 1:5424 RUFE SNOW DR
Mailing Address - Street 2:SUITE 502
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-6684
Mailing Address - Country:US
Mailing Address - Phone:817-572-2560
Mailing Address - Fax:817-572-2870
Practice Address - Street 1:5424 RUFE SNOW DR
Practice Address - Street 2:SUITE 502
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-6684
Practice Address - Country:US
Practice Address - Phone:817-572-2560
Practice Address - Fax:817-572-2870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-03
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4456111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0200XChiropractic ProvidersChiropractorRadiologyGroup - Single Specialty