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Mr. Keith Mussog, RT(R)
Radiography Radiologic Technologist in Dallas, Texas
NPI 1992132609

Keith Mussog is a Radiography Radiologic Technologist based in Frisco, TX and is specialized in Radiography. Keith Mussog practices in Dallas, TX and has the professional credentials of RT(R). The NPI Number for Keith Mussog is 1992132609 and holds a License No. 96693 (Texas).

The current practice location address for Keith Mussog is 13154 Coit Rd, Dallas, TX and can be reached out via phone at 443-235-4991.

Location: 13154 Coit Rd, Dallas, TX, 75035-0086
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992132609
Provider Name
Keith Mussog
Credential
RT(R)
Provider Entity Type
Individual
Gender
Male
Address
13154 Coit Rd, Dallas, TX, 75035-0086
Phone Number
443-235-4991
Fax Number
Provider Enumeration Date
09/26/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
457059 01 THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGIST
96693 01 TX CERTIFIED MEDICAL RADIOLOGIC TECHNOLOGIST
institution
Provider Business Practice Location Address Details
Address
13154 Coit Rd
City
Dallas
State
Texas
Zip
75240-5773
Phone Number
443-235-4991
Fax Number
person
Provider Business Mailing Address Details
Address
13154 Coit Rd
City
Dallas
State
Texas
Zip
75240-5773
Phone Number
443-235-4991
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Radiography
Taxonomy
2471C3402X
License No.
96693 (Texas)
Definition
Definition to come...
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