Organization
PHYSICIAN & SURGEONS X-RAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY GAYLENE HOLZBERLEIN (OWNER)
(405) 255-0488
Entity
Organization
Contact information
Practice address
900 N PORTER AVE STE 104, NORMAN, OK 73071-6426
(405) 255-0488
(405) 329-5149
Mailing address
900 N PORTER AVE STE 104, NORMAN, OK 73071-6426
(405) 255-0488
(405) 329-5149
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Enumeration date
07/03/2015
Last updated
07/03/2015
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