Unknown Individual – Diagnostic Radiology Physician, NPI 1891746566
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
580, South Denton Tap Road, Coppell, Dallas County, Texas, 75019, United States
SUITE 122
COPPELL, TX 750194098
Phone: (972) 304-4415
Type: Location
6709, Golf Drive, University Park, Dallas County, Texas, 75205, United States
DALLAS, TX 752051213
Phone: (214) 363-0686
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75019)
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