Organization
NORTHEAST TEXAS RADIOLOGY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILAS DAVIS JR. M.D. (PRESIDENT)
(903) 577-6186
Entity
Organization
Contact information
Practice address
2001 N JEFFERSON AVE, MT PLEASANT, TX 75455-2371
(903) 577-6186
(903) 577-6131
Mailing address
4777 US HIGHWAY 259, LONGVIEW, TX 75605-7668
(903) 663-4800
(903) 663-0378
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93977901
—
TX
Enumeration date
05/13/2006
Last updated
11/30/2007
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