Modified Barium Swallow Service, PA
Modified Barium Swallow Service, PA is a Diagnostic Radiology Physician in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2005.
- Licensed in
- TX
- In the registry since
- 2005
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3724 Fm 346 ETyler, TX 75703-8340
Phone: (210) 325-6277
Fax: (210) 682-5195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence L0882 (TX) |
|---|
Record details
| NPI number | 1871594697 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chad Niles — Medical Director · (210) 325-6277 |
| NPI enumerated | August 2, 2005 |
| Last updated in NPPES | November 7, 2007 |
| Mailing address | 3724 Fm 346 E, Tyler, TX 75703-8340 |
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