Functional Imaging of Texas, PA
Organization Active NPI Nuclear Medicine Physician · Corinth, TX
NPI 1386659142 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1386659142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nuclear Medicine Physician 207U00000X
- Legal business name
- FUNCTIONAL IMAGING OF TEXAS, PA
- Practice address
- 4851 S Interstate 35 E
Ste 101
Corinth, TX 76210-2348 - Phone
- (972) 447-9799
- NPI assigned
- Jul 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Theodore R. Simon, M.D.
- Title
- Executive Officer
- Phone
- (214) 435-2866
National Provider Directory
Locations
8345 Walnut Hill Ln
Ste 210
Dallas, TX 75231
Phone (214) 435-2866
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician |
207U00000X | Yes |
Addresses
Primary practice location
4851 S Interstate 35 E
Ste 101
Corinth, TX 76210-2348
Mailing address
PO Box 650772
Dallas, TX 75265-0772
Phone (972) 447-9799
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD9838 | Other | TX | MEDICARE RAILROAD |
| 0076MG | Other | TX | BC/BS |
Other providers in Corinth, TX
- Amanda Lee Field
- First Step Denton County Outreach Program, LLC
- Flourish Counseling & Soul Care Services, LLC
- Holly Forester
- Carlos David Fuentes
- Claire Elizabeth Gaither
- Emily Gard
- Carolyn Garner
- Chelsea Jordan Larmore Garvin
- Genuine Medical Supply & Equipments Inc
All providers in Corinth, TX · Nuclear Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.