National Provider Identifier Database

DIAGNOSTIC RADIOLOGY OF NACOGDOCHES
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

DIAGNOSTIC RADIOLOGY OF NACOGDOCHES
602 HURST
CENTER, TX75935
Phone: 936-598-2781
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for DIAGNOSTIC RADIOLOGY OF NACOGDOCHES

NPI Number 1619935509
Legal business name
LBN
DIAGNOSTIC RADIOLOGY OF NACOGDOCHES
Authorized official MORRIS JACKSON - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/02/2006
Last updated 11/02/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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