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Organization

E.T. MOBILE IMAGING, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROY WAYNE MCGAHEE (PRESIDENT/OWNER)
(903) 885-3200
Entity
Organization

Contact information

Practice address
472 FARM ROAD 2297, SULPHUR SPRINGS, TX 75482-4719
(903) 885-3200
(903) 439-0462
Mailing address
472 FARM ROAD 2297, SULPHUR SPRINGS, TX 75482-4719
(903) 885-3200
(903) 439-0462

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
R22095
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
086112201
TX
Enumeration date
10/19/2006
Last updated
09/17/2008
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