Doctor Name: | BARBARA HOUSTON |
NPI Number: | 1306253380 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.T. (R) C.T. |
License Number: | 14765 |
Business Practice Address: | 5691 Wedgewood Rd Baxter, MN - 564252904 |
Business Phone Number: | 2183308854 |
Business Fax Number: | |
Mailing Address: | 5691 Wedgewood Rd, BAXTER |
State: | MN |
Postal Code: | 564252904 |
Phone Number: | 2183308854 |
Fax Number: | |
NPI Enumeration Date: | 07/22/2014 |
NPI Last Update Date: | 07/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471C3401X |
License Number: | 14765 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Computed Tomography |
Taxonomy Definition: |