Individual
PARAMPOTTIL THARIAN ISSAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TECH
Contact information
Practice address
4124 GUS THOMASSON ROAD, MESQUITE, TX 75150-2226
(972) 682-0484
Mailing address
4124 GUS THOMASSON ROAD, MESQUITE, TX 75150-2226
(972) 682-0484
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
TX
2471S1302X
Sonography Radiologic Technologist
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
459840
BCBS
TX
Enumeration date
09/20/2006
Last updated
12/06/2007
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