Organization
SOUTH TEXAS MRI LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP J. RUSSELL CMPE (AGENT)
(210) 616-7796
Entity
Organization
Contact information
Practice address
7930 FLOYD CURL DR, 2ND FLOOR, SAN ANTONIO, TX 78229-3925
(210) 617-9850
(210) 616-7749
Mailing address
7930 FLOYD CURL DR FL 2, P. O. BOX 291088, SAN ANTONIO, TX 78229-3925
(210) 617-9850
(210) 616-7749
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127701401
—
TX
01
—
TXB106950
STMRI MEDICARE
TX
Enumeration date
12/18/2006
Last updated
09/09/2010
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