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Individual

BILLY RAY DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
TECH

Contact information

Practice address
4124 GUS THOMASSON ROAD, MESQUITE, TX 75150-2226
(972) 601-0481
(214) 221-5600
Mailing address
4124 GUS THOMASSON ROAD, MESQUITE, TX 75150-2226
(972) 601-0481
(214) 221-5600

Taxonomy

Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
TX
2471S1302X
Sonography Radiologic Technologist
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
459840
BCBS
TX
Enumeration date
09/20/2006
Last updated
12/06/2007
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