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Organization

SUPPLEMENTAL HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICKI ROGERS (ULTRASONOGRAPHER)
(888) 800-8744
Entity
Organization

Contact information

Practice address
9441 LBJ FWY STE 602, DALLAS, TX 75243-4545
(888) 800-8744
(877) 788-7505
Mailing address
9441 LBJ FWY STE 602, DALLAS, TX 75243-4545

Taxonomy

Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary

Other

Enumeration date
10/03/2014
Last updated
10/03/2014
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