Individual
STEVEN ASHLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
520 E 6TH ST, DEPARTMENT OF RADIOLOGY, ODESSA, TX 79761-4527
(432) 582-8290
(432) 582-8931
Mailing address
18 SAN JUAN CT, ODESSA, TX 79765-8542
(432) 561-5110
(432) 561-5110
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J3966
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376022-13
—
TX
Enumeration date
01/06/2006
Last updated
09/14/2012
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