Organization
DIAGNOSTIC OUTPATIENT IMAGING PARTNERSHIP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M BOUSHKA MD (OWNER PHYSICIAN)
(915) 881-1900
Entity
Organization
Contact information
Practice address
6065 MONTANA AVE, BLDG A STE 6, EL PASO, TX 79925-1835
(915) 881-1900
(915) 771-9345
Mailing address
6065 MONTANA AVE, SUITE A-6, EL PASO, TX 79925-1835
(915) 881-1900
(915) 771-9345
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109395701
—
TX
Enumeration date
06/16/2006
Last updated
10/03/2019
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