Basic Information
| Provider Information | |||||||||
| NPI: | 1194751446 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | US RADIOLOGY PARTNERS OF TEXAS INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 266 | ||||||||
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| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782910266 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4097246095 | ||||||||
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| Practice Location | |||||||||
| Address1: | 87 ARCADIAN SHORES STREET | ||||||||
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| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 89148 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7025971971 | ||||||||
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| ProviderEnumerationDate: | 06/25/2006 | ||||||||
| LastUpdateDate: | 10/16/2007 | ||||||||
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| AuthorizedOfficialLastName: | LOWENSTEIN | ||||||||
| AuthorizedOfficialFirstName: | GREG | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT AUTHORIZED REPRESENTATIVE | ||||||||
| AuthorizedOfficialTelephone: | 9729296633 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
No ID Information.