Organization
HOME CARE X-RAY SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A GREEN R.T. (PRESIDENT)
(254) 666-6192
Entity
Organization
Contact information
Practice address
207 BUCKINGHAM PL, HEWITT, TX 76643-4204
(254) 666-6192
(254) 666-6198
Mailing address
PO BOX 23243, WACO, TX 76702-3243
(254) 666-6192
(254) 666-6198
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
R14566
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086075101
—
TX
01
—
630000131
PALMETTO GBA-RAILROAD MED
TX
Enumeration date
06/06/2007
Last updated
08/05/2008
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