Organization
CONCORD IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY NYLE WIERSIG M.D. (PRESIDENT)
(210) 572-2222
Entity
Organization
Contact information
Practice address
18802 MEISNER DRIVE, SAN ANTONIO, TX 78252-4251
(210) 572-2222
(210) 249-2177
Mailing address
PO BOX 1888, GREENVILLE, TX 75403-1888
(800) 897-9867
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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