Individual
MATTHEW QUINN OLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.T. (R),(T)
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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