Organization · Type 2 NPI
Modified Barium Swallow Service, P.a.
Diagnostic Radiology Physician · Tyler, TX
NPI number
1871594697
Active
Practice location
3724 FM 346 E
Tyler, TX 75703-8340
Fax (210) 682-5195
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | L0882 (TX) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Other diagnostic radiology physician providers in Tyler
About NPI 1871594697
Modified Barium Swallow Service, P.a.'s National Provider Identifier is 1871594697, issued on Aug 2, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Tyler, TX. The record was last updated on Nov 7, 2007.