Physician & Surgeons X-Ray LLC

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

Legal business name

PHYSICIAN & SURGEONS X-RAY LLC

Practice address

900 N Porter Ave Ste 104
Norman, OK 73071-6426

Phone

(405) 255-0488

Fax

(405) 329-5149

NPI assigned

Jul 3, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tracy Gaylene Holzberlein

Title

Owner

Phone

(405) 255-0488

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435881600000",
    "number": "1457734733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N PORTER AVE STE 104",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716426",
            "telephone_number": "405-255-0488",
            "fax_number": "405-329-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N PORTER AVE STE 104",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716426",
            "telephone_number": "405-255-0488",
            "fax_number": "405-329-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN & SURGEONS X-RAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-03",
        "last_updated": "2015-07-03",
        "status": "A",
        "authorized_official_last_name": "HOLZBERLEIN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "GAYLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-255-0488",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiologic Technologist in Norman, OK
• Providers in Norman, OK by specialty
• Radiologic Technologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.