Organization
RADIOLOGY ASSOCIATES OF SAN MARCOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG IGLESIA MD (PRESIDENT)
(512) 396-8565
Entity
Organization
Contact information
Practice address
1301 WONDER WORLD DR, SAN MARCOS, TX 78666-7533
(512) 396-8565
Mailing address
PO BOX 1005, SAN MARCOS, TX 78667-1005
(512) 396-8565
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
H7991
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121698801
—
TX
Enumeration date
04/19/2007
Last updated
07/11/2008
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