BULLDOG RADIOLOGY PLLC NPI 1548358906

NPI Information

NPI: 1548358906
Provider Name: BULLDOG RADIOLOGY PLLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1717 HIGHWAY 59 LOOP N
LIVINGSTON, TX
ZIP 77351
Phone: (936) 329-8700
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BULLDOG RADIOLOGY PLLC is a diagnostic radiology radiology in Livingston, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BULLDOG RADIOLOGY PLLC NPI is 1548358906. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1717 HIGHWAY 59 LOOP N
LIVINGSTON, TX
ZIP 77351-703
Phone: (936) 329-8700

The provider's authorized official is William Avery .
The authorized official title is Owner and has the following contact phone number (832) 472-3301.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 12/26/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00X206	MEDICARE PIN	TEXAS
2	0003PD	OTHER	TEXAS	BCBS GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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