Organization
MODIFIED BARIUM SWALLOW SERVICE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD REED NILES M.D. (MEDICAL DIRECTOR)
(210) 325-6277
Entity
Organization
Contact information
Practice address
3724 FM 346 E, TYLER, TX 75703-8340
(210) 325-6277
(210) 682-5195
Mailing address
3724 FM 346 E, TYLER, TX 75703-8340
(210) 325-6277
(210) 682-5195
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L0882
TX
Other
Enumeration date
08/02/2005
Last updated
11/07/2007
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