Modified Barium Swallow Service, P.a.

NPI #1871594697 in Tyler, Texas

Provider Information

NPI Number
1871594697
Entity Type
Organization
Organization Name
Modified Barium Swallow Service, P.a.
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Aug 2, 2005
Last Updated
Nov 7, 2007

Practice Location

Address
3724 FM 346 E
City
Tyler
State
Texas
ZIP Code
75703-8340
Phone
(210) 325-6277

Authorized Official

Name
DR. CHAD REED NILES, M.D.
Title
MEDICAL DIRECTOR
Phone
(210) 325-6277

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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