Organization
STAR MOBILE IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON HOLBERT RVT (PRESIDENT)
(214) 680-5970
Entity
Organization
Contact information
Practice address
310 SAN MATEO CT, IRVING, TX 75062-4509
(228) 209-3371
Mailing address
310 SAN MATEO CT, IRVING, TX 75062-4509
(214) 680-5970
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
15327
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153257
SONOGRAPHER LICENSE
TX
Enumeration date
01/13/2015
Last updated
03/16/2017
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