Matthew Quinn Olden, R.T. (R),(T)
Radiologic Technologist, Radiation Therapy in Irving, TX. Individual provider (NPI-1).
NPI number1497070379
StatusActive
Last updated in NPPESApr 2, 2010
Details
- NPI
- 1497070379
- Entity type
- Individual (NPI-1)
- Name
- Matthew Quinn Olden
- Credential
- R.T. (R),(T)
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 2, 2010
- Last updated
- Apr 2, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471R0002X | Radiologic Technologist, Radiation Therapy | 233121 | – | Yes |
| 2471R0002X | Radiologic Technologist, Radiation Therapy | 19961 | TX |
Other names
- Matt Olden (Other Name)
Practice location
4004 Dorris RdIrving, TX 75038-4003
Phone 817-308-0268 · Fax 972-258-7972
Mailing address
4004 Dorris RdIrving, TX 75038-4003
Phone 817-308-0268 · Fax 972-258-7972
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