Organization
PROFESSIONAL RADIOLOGY NETWORK TLC-PRN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS H VREELAND MD (OPERATING MEMBER)
(337) 735-9505
Entity
Organization
Contact information
Practice address
107 KEMPTON DR, LAFAYETTE, LA 70508-6547
(337) 735-9505
Mailing address
4400A AMBASSADOR CAFFERY PKWY # 555, LAFAYETTE, LA 70508-6706
(337) 735-9505
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/08/2009
Last updated
04/09/2012
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