Organization
ADVANCED MAXILLOFACIAL IMAGING OF MCALLEN LLC
Active
Organization
ADVANCED MAXILLOFACIAL IMAGING OF MCALLEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH W BAKER (IMAGING COORDINATOR)
(956) 686-2052
Entity
Organization
Contact information
Practice address
5000 N 10TH ST, MCALLEN, TX 78504-2832
(956) 686-2052
(956) 682-1749
Mailing address
5000 N 10TH ST, MCALLEN, TX 78504-2832
(956) 686-2052
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12405
TX
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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