Provider Demographics
NPI:1255386645
Name:DFW ULTRASOUND ASSOCIATES, LLC
Entity type:Organization
Organization Name:DFW ULTRASOUND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FERNAN
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-808-8263
Mailing Address - Street 1:PO BOX 612245
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75261-2245
Mailing Address - Country:US
Mailing Address - Phone:817-808-8263
Mailing Address - Fax:972-934-0633
Practice Address - Street 1:3805 CROWN CT
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-6158
Practice Address - Country:US
Practice Address - Phone:817-808-8263
Practice Address - Fax:972-934-0633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty