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Contact Information

KEITH MUSSOG, RT (R)
13154 COIT RD
DALLAS, TX75240-5773
 Phone: 443-235-4991
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiography Radiologic Technologist

2471C3402X
Indicates primary specialty

NPI Profile & details for KEITH MUSSOG · (Male)

NPI Number 1992132609
Status Active
Credentials RT (R)
Entity Individual
Enumeration date 09/26/2013
Last updated 08/16/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 96693
  • Other 457059 THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGIST
  • TX Other 96693 CERTIFIED MEDICAL RADIOLOGIC TECHNOLOGIST
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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