BOULEVARD DIAGNOSTIC MANAGEMENT GROUP, LLC is a magnetic resonance imaging (mri) clinic center in Southlake, TX. BOULEVARD DIAGNOSTIC MANAGEMENT GROUP, LLC NPI is 1194061135. The provider is registered as an organization entity type.
The provider's business location address is:
3120 W SOUTHLAKE BLVD
SOUTHLAKE, TX
ZIP 76092-783
Phone: (817) 741-0808
The provider's authorized official is James Aubrey Waller .
The authorized official title is Managing Manager and has the following contact phone number (817) 528-7044.
The enumeration date for this NPI number is 12/19/2012 and was last updated on 12/19/2012.