Organization
PROFESSIONAL RADIATION SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S. DIANE SELLARS (CREDENTIALLING/ACCOUNTING)
(615) 746-4711
Entity
Organization
Contact information
Practice address
1700 E SAUNDERS ST, LAREDO, TX 78041-5474
(956) 796-3159
(956) 796-3173
Mailing address
PO BOX 202340, DALLAS, TX 75320-0001
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
L5631
TX
Other
Enumeration date
12/12/2007
Last updated
01/09/2008
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