Organization
SOUTHWEST DIAGNOSTIC CENTERS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA ROACH (CENTER DIRECTOR)
(512) 891-9191
Entity
Organization
Contact information
Practice address
6000 SOUTH MOPAC, AUSTIN, TX 78749-1113
(512) 891-9191
(512) 891-1909
Mailing address
6000 SOUTH MOPAC, AUSTIN, TX 78749-1113
(512) 891-9191
(512) 891-1909
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
TX
208VP0000X
Pain Medicine Physician
Primary
—
TX
293D00000X
Physiological Laboratory
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003DC
BCBS
TX
01
—
P00085382
MCARE RR
TX
Enumeration date
06/23/2006
Last updated
09/11/2025
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