OrganizationActive
Exploratory & Diagnostic Imaging Center
NPI 1205979705 · Neuromusculoskeletal Medicine & OMM Physician · Dallas, TX
Provider details
- NPI number
- 1205979705
- Entity type
- Organization
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Larry Johnson, Orthopaedic Surgeon
- License
- G6311 (TX)
Practice location
2301 S Hampton Rd
Suite 700
Dallas, TX 75224-1650
Phone: (214) 333-4200
Fax: (214) 333-9911
Mailing address
2301 S Hampton Rd
Dallas, TX 75224-1650
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.