Organization
RADIOLOGY ASSOCIATES OF ABILENE PA
Active
Other names
Benchmark Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL K CLOUSE (EXECUTIVE DIRECTOR)
(325) 677-2201
Entity
Organization
Contact information
Practice address
401 CYPRESS ST, # 110, ABILENE, TX 79601-5122
(325) 677-2201
(325) 677-7641
Mailing address
PO BOX 2898, ABILENE, TX 79604-2898
(325) 677-2201
(325) 677-7641
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C414
BLUECROSSBLUE SHIELD
TX
05
—
127266804
—
TX
Enumeration date
08/18/2005
Last updated
12/22/2022
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