Mr. KEITH MUSSOG RT (R) ⚕️ Texas 1992132609

NPI	1992132609
Entity Type	Individual
Gender	Male
Sole Proprietor ?	No
Primary Taxonomy	2471C3402X Radiologic Technologist, Radiography (Licence: TX 96693)
Enumeration Date	2013-09-26
Last Update Date	2016-08-16

Mr. KEITH MUSSOG RT (R)

13154 COIT RD

DALLAS, TX 75240-5773

Phone number: 443-235-4991

Mr. KEITH MUSSOG RT (R)

12573 GRANITE FALLS TRL

FRISCO, TX 75035-0086

Phone number: 443-235-4991