Organization
SOUTH TEXAS RADIOLOGY IMAGING CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY WOODARD (CHIEF EXECUTIVE OFFICER)
(210) 615-5632
Entity
Organization
Contact information
Practice address
4410 MEDICAL DR STE 200, SAN ANTONIO, TX 78229-3744
(210) 575-6692
(210) 616-7799
Mailing address
PO BOX 29441, SAN ANTONIO, TX 78229-0441
(210) 616-7796
(210) 616-7799
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141621601
—
TX
Enumeration date
02/09/2006
Last updated
09/18/2024
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