Organization
SONOWAVE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RANDS (OWNER PRESIDENT)
(903) 531-9740
Entity
Organization
Contact information
Practice address
417 S CHILTON AVE, TYLER, TX 75702-8017
(903) 531-9740
(903) 531-9764
Mailing address
PO BOX 120131, TYLER, TX 75712-0131
(903) 531-9740
(903) 531-9764
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088143501
—
TX
Enumeration date
05/10/2006
Last updated
09/11/2008
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