Provider Demographics
NPI:1255485298
Name:UHLIR, MICHELLE (RT (R))
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:UHLIR
Suffix:
Gender:F
Credentials:RT (R)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3709 TERILYNN DR
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75604-1026
Mailing Address - Country:US
Mailing Address - Phone:903-452-5856
Mailing Address - Fax:
Practice Address - Street 1:3709 TERILYNN DR
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75604-1026
Practice Address - Country:US
Practice Address - Phone:903-452-5856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX237292471C3402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography