Individual
CARLOS MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
4124 GUS THOMASSON RD, MESQUITE, TX 75150-2226
(214) 221-4500
(214) 221-5600
Mailing address
4124 GUS THOMASSON RD, MESQUITE, TX 75150-2226
(214) 221-4500
(214) 221-5600
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
459840
TX
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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