Organization
PHOTON IMAGING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C CAMPBELL MD (VICE PRESIDENT)
(903) 736-3179
Entity
Organization
Contact information
Practice address
515 W 12TH ST, TEXARKANA, TX 75501-4416
(903) 735-5000
Mailing address
20148 FM 449, LONGVIEW, TX 75605-7731
(903) 736-3179
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
11/02/2020
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