Organization
AUSTIN RADIOLOGICAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARLEE LEBLEU (VICE PRESIDENT)
(480) 321-7026
Entity
Organization
Contact information
Practice address
1348 HIGHWAY 123, SAN MARCOS, TX 78666-7848
(512) 392-1831
(512) 353-4528
Mailing address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 519-3451
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
R00151
TX
261QR0208X
Mobile Radiology Clinic/Center
L05329
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131020304
—
TX
05
—
203298901
—
TX
01
—
CG5736
RAILROAD MEDICARE
TX
Enumeration date
12/30/2005
Last updated
07/10/2024
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