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Jimmy Coursen Gallagher

Radiologic Technologist, Radiography in Midland, TX. Individual provider (NPI-1).

NPI number1457566705
StatusActive
Last updated in NPPESMar 25, 2011

Details

NPI
1457566705
Entity type
Individual (NPI-1)
Name
Mr. Jimmy Coursen Gallagher
Sex
Male
Sole proprietor
No
Enumeration date
May 11, 2007
Last updated
Mar 25, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2471C3402X Radiologic Technologist, Radiography356305TXYes

Practice location

5006 Hilltop Dr
Midland, TX 79707-3228

Phone 432-212-4935 · Fax 888-758-0672

Mailing address

5006 Hilltop Dr
Midland, TX 79707-3228

Phone 432-212-4935 · Fax 888-758-0672

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