Individual provider · NPI-1

Constance Broadhurst

Radiologic Technologist, Computed Tomography · Dallas, TX

NPI number1518367697
StatusActive
Last updated in NPPESAug 26, 2014

Details

NPI
1518367697
Entity type
Individual (NPI-1)
Name
Constance Broadhurst
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 26, 2014
Last updated
Aug 26, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2471C3401X Radiologic Technologist, Computed Tomography171300MOYes

Practice location

9441 Lbj Fwy
Suite 602
Dallas, TX 75243-4545

Phone 469-249-1887

Mailing address

9441 Lbj Fwy
Suite 602
Dallas, TX 75243-4545

Phone 469-249-1887

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