NPI 1518367697

Constance Broadhurst

Practitioner Computed Tomography Radiologic Technologist Dallas, TX

Practice location

Address: 9441 Lbj Fwy Suite 602, Dallas, TX 75243-4545
Phone: (469) 249-1887

Registered specialties

Computed Tomography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3401X Licence 171300 (MO)

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Registry record

NPI: 1518367697
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Aug 2014
Record last updated: 26 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.