Organization
R.T. PORTABLE X-RAY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL H RODRIGUEZ RT (PROVIDER)
(972) 523-6815
Entity
Organization
Contact information
Practice address
2627 WELLS CT, CEDAR HILL, TX 75104-6943
(972) 523-6815
(214) 515-9302
Mailing address
2627 WELLS CT, CEDAR HILL, TX 75104-6943
(972) 523-6815
(214) 515-9302
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
5810
TX
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
459898
BLUE CROSS/ BLUE SHIELD
TX
Enumeration date
07/10/2006
Last updated
07/18/2019
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