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Modified Barium Swallow Service, P.a.
Diagnostic Radiology Physician in Tyler, Texas
NPI 1871594697

Modified Barium Swallow Service, P.a. is a Diagnostic Radiology Physician based in Tyler, TX and is specialized in Diagnostic Radiology. Modified Barium Swallow Service, P.a. practices in Tyler, TX. The NPI Number for Modified Barium Swallow Service, P.a. is 1871594697 and holds a License No. L0882 (Texas).

The current practice location address for Modified Barium Swallow Service, P.a. is 3724 Fm 346 E, Tyler, TX and can be reached out via phone at 210-325-6277 and via fax at 210-682-5195.

Location: 3724 Fm 346 E, Tyler, TX, 75703-8340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871594697
Provider Name
Modified Barium Swallow Service, P.a.
Credential
Provider Entity Type
Organization
Address
3724 Fm 346 E, Tyler, TX, 75703-8340
Phone Number
210-325-6277
Fax Number
210-682-5195
Provider Enumeration Date
08/02/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3724 Fm 346 E
City
Tyler
State
Texas
Zip
75703-8340
Phone Number
210-325-6277
Fax Number
210-682-5195
person
Provider Business Mailing Address Details
Address
3724 Fm 346 E
City
Tyler
State
Texas
Zip
75703-8340
Phone Number
210-325-6277
Fax Number
210-682-5195
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
L0882 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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