Basic Information
| Provider Information | |||||||||
| NPI: | 1992731376 | ||||||||
| 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: | 8911 NORTH SACKETT DRIVE | ||||||||
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| City: | PARK CITY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 75063 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4356494765 | ||||||||
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| ProviderEnumerationDate: | 06/25/2006 | ||||||||
| LastUpdateDate: | 04/29/2008 | ||||||||
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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.