Organization Name: | TEXOMA CARDIO DIAGNOSTICS LLC |
NPI Number: | 1033142039 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEE MICHAEL WOODALL (PRESIDENT CHIEF SONOGRAPHER) |
Mailing Address: | 2303 Bryan Rd Durant |
State: | OK US |
Postal Code: | 747018023 |
Phone Number: | 5809246052 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246XS1301X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Cardiovascular |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |