Organization
EAST TEXAS RADIOLOGY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PITTMON (ADMINISTRATOR)
(903) 663-4800
Entity
Organization
Contact information
Practice address
2901 N 4TH ST, LONGVIEW, TX 75605-5128
(903) 232-3660
Mailing address
4777 US HIGHWAY 259, LONGVIEW, TX 75605-7668
(903) 663-4800
(903) 663-0378
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/26/2006
Last updated
11/30/2007
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