# FRONTIER RADIOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770076689
- **Authorized official:** KEVIN OWENS (CEO)
- **Authorized official phone:** (512) 659-4467

## Contact information

- **Practice address:** 3101 HIGHWAY 71E SUITE 108, BASTROP, TX 78602
- **Practice address phone:** (512) 332-0222
- **Practice address fax:** (512) 332-0227
- **Mailing address:** 209 WATERSONG LANE, GEORGETOWN, TX 78628
- **Mailing address phone:** (512) 659-4467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2018
- **Last updated:** 06/14/2018