Provider Demographics
NPI:1710526090
Name:PERRY, MAUREEN SINEADE (RT(R) (ARRT))
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:SINEADE
Last Name:PERRY
Suffix:
Gender:F
Credentials:RT(R) (ARRT)
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3820 POINTE PKWY
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-2000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3820 POINTE PKWY
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-2000
Practice Address - Country:US
Practice Address - Phone:409-899-9090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3912432471M1202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance Imaging