Bayside Radiology and Imaging of Rowlett PLLC
Organization Active NPI Radiology Clinic/Center · Rowlett, TX
NPI 1861961815 · NPPES record last updated Nov 20, 2018
Key facts
- NPI
- 1861961815
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- Legal business name
- BAYSIDE RADIOLOGY AND IMAGING OF ROWLETT PLLC
- Practice address
- 4624 Lakeview Pkwy
Rowlett, TX 75088-4027 - Phone
- (972) 840-2020
- Fax
- (972) 694-0260
- NPI assigned
- Nov 20, 2018
- Organization subpart
- No
Authorized official
- Name
- Brad Boeke, DDS
- Title
- Member
- Phone
- (972) 840-2020
Practitioners 1
-
Bradley Boeke, D.D.S.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Yes |
Addresses
Primary practice location
4624 Lakeview Pkwy
Rowlett, TX 75088-4027
Mailing address
4624 Lakeview Pkwy
Rowlett, TX 75088-4027
Phone (972) 840-2020
Other names
- Bayside Radiology and IMaging
Other providers in Rowlett, TX
- Victoria Barraza
- Ashley Barrett
- Fatmata Binta Barrie
- Mariah Basilio
- Deisy Bautista
- BC Home Healthcare Services Incorporated
- Chester Beans Jr.
- Marissa Dawn Beatte
- Hillary Becerra
- Tonia Bell
All providers in Rowlett, TX · Radiology Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2018. 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.