Organization
COMMUNITY RADIOLOGY ASSOCIATES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARLEE LEBLEU (VICE PRESIDENT)
(480) 321-7026
Entity
Organization
Contact information
Practice address
100 MEDICAL PKWY, RADIOLOGY DEPARTMENT, AUSTIN, TX 78738-5621
(512) 820-8098
(210) 614-7522
Mailing address
PO BOX 208534, DALLAS, TX 75320-8534
(888) 372-4197
(210) 614-7522
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0078LC
BCBS
TX
05
—
165256201
—
TX
01
—
DB2103
MEDICARE RAILROAD
TX
Enumeration date
05/11/2006
Last updated
07/11/2024
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