Organization
LIBERTY MEDICAL DIAGNOSTICS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUSTIN L RAY M.D. (OWNER)
(214) 396-7725
Entity
Organization
Contact information
Practice address
1416 PECAN VALLEY DR, MCKINNEY, TX 75070-8322
(214) 396-7725
(469) 453-3192
Mailing address
1416 PECAN VALLEY DR, MCKINNEY, TX 75070-8322
(214) 396-7725
(469) 453-3192
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
N6605
TX
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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