Individual
GADINGA NIXON TITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
15801 CAPRI LN, EDMOND, OK 73013-6219
(405) 305-9635
Mailing address
15801 CAPRI LN, EDMOND, OK 73013-6219
(405) 305-9635
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
532065
OK
Other
Enumeration date
10/07/2025
Last updated
10/24/2025
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