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Individual

JOHN CAHAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CMRT

Contact information

Practice address
621 S RUIDOSO DOWNS, WACO, TX 76706
(254) 744-3032
Mailing address
PO BOX 22074, WACO, TX 76702-2074

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
22778
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
$$$$$$$$$
SOCIAL SECURITY #
01
068124
AM REGISTRY OF RADIOLOGIC
TX
01
P00069563
MEDICARE RAILROAD PROVIDE
TX
Enumeration date
11/14/2006
Last updated
05/21/2020
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