Organization
STAT X-RAY OF TEXAS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THARIAN P ISSAC (OWNER TECH)
(972) 682-0484
Entity
Organization
Contact information
Practice address
4124 GUS THOMASSON RD, MESQUITE, TX 75150-2226
(972) 669-1243
(214) 723-7539
Mailing address
PO BOX 870427, MESQUITE, TX 75187-0427
(972) 669-1243
(214) 723-7539
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
—
—
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
06/12/2008
Last updated
07/27/2012
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