P Praxis·MD
● Active Type 2 · Organization

Tidc-Grapevine, Inc

Radiology·Grapevine, TX· NPI 1689639205 · Enumerated 2006 · 20 years on NPI
Tidc-Grapevine, Inc is 1 of 3776 radiology organizations in Texas.
NPI age
20 years
Enumerated 2006-04-18
Primary specialty
Radiology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cerullo
Ceo
Last NPPES update
2007-09-19
Source: monthly bulk 2026-05

How this organization compares

Across 3776 active radiology providers in Texas.

NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-04Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
5311 William D Tate Ave
Grapevine, TX 760517365
📞 8172679500fax 8175459400
Mailing address
5311 William D Tate Ave
Grapevine, TX 760517365
📞 8172679500fax 8175459400

Authorized official

Emil Georgio Cerullo
Ceo
📞 2143575229

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    TX license #R22410 taxonomy 2085R0202X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Texas Imaging & Diagnostic Center
    Type code 3 recorded 2006-04-18

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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