Provider Demographics
NPI:1902241292
Name:TR DIAGNOSTIC RADIOLOGY MANAGEMENT INC
Entity Type:Organization
Organization Name:TR DIAGNOSTIC RADIOLOGY MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TATIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-474-8989
Mailing Address - Street 1:3620 N JOSEY LN STE 116
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-3151
Mailing Address - Country:US
Mailing Address - Phone:972-474-8989
Mailing Address - Fax:469-763-3123
Practice Address - Street 1:3620 N JOSEY LN STE 116
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-3151
Practice Address - Country:US
Practice Address - Phone:972-474-8989
Practice Address - Fax:469-763-3123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-01
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
No207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty