Jason Albert Conrad in Fort Worth - Diagnostic Radiology
Jason Albert Conrad - NPI 1730383829
Jason Albert Conrad is a Diagnostic Radiology in Fort Worth, Texas. Jason Albert Conrad practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jason Albert Conrad is 1730383829. The last update date is 2012-08-14.
Jason Albert Conrad's current location address is 816 W Cannon St, Fort Worth, Texas. You can contact this provider via phone number 8173210312 and fax number 8173177033. The mailing address for Jason Albert Conrad is 816 W Cannon St, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Albert Conrad |
|---|---|
| Address | 816 W Cannon St, Fort Worth, Texas |
| Phone Number | 8173210312 |
| Fax Number | 8173177033 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1730383829 |
|---|---|
| Provider Enumeration Date | 2007-06-12 |
| Last Updated Date | 2012-08-14 |
Provider Mailing Address Detail
| Address | 816 W Cannon St |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761043146 |
| Phone Number | 8173210312 |
| Fax Number | 8173177033 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | M1598 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| M1598 | TX | TX LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jason Albert Conrad by the Centers for Medicare & Medicaid Services?
The Jason Albert Conrad has been assigned the NPI (National Provider Identifier) 1730383829 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jason Albert Conrad's physical address?
The Jason Albert Conrad is physically located at 816 W Cannon St, in the city of Fort Worth, TX, with the postal code 761043146.
What is Jason Albert Conrad's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jason Albert Conrad's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.
On what date was the 1730383829 assigned to Jason Albert Conrad?
The Jason Albert Conrad was issued its 1730383829 on 2007-06-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jason Albert Conrad most recently updated or revised?
The information pertaining to Jason Albert Conrad, including its address, specialty, and other relevant details, was last updated or revised on 2012-08-14.
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