Individual
MATTHEW QUINN OLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.T. (R),(T)
Contact information
Practice address
4004 DORRIS RD, IRVING, TX 75038-4003
(817) 308-0268
(972) 258-7972
Mailing address
4004 DORRIS RD, IRVING, TX 75038-4003
(817) 308-0268
(972) 258-7972
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
19961
TX
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
233121
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19961
TEXAS DEPARTMENT OF HEALTH
TX
01
—
233121
AMERICAN REGISTRY RADIOLOGIC TECHNOLOGIST
—
Enumeration date
04/02/2010
Last updated
04/02/2010
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