Organization
COMMUNITY RADIOLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARLEE LEBLEU (VICE PRESIDENT)
(480) 321-7026
Entity
Organization
Contact information
Practice address
100 MEDICAL PKWY, RADIOLOGY DEPARTMENT, LAKEWAY, TX 78738-5621
(512) 820-8098
Mailing address
PO BOX 208534, DALLAS, TX 75320-0686
(888) 372-4197
(210) 614-7522
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165256201
—
TX
Enumeration date
02/20/2017
Last updated
07/11/2024
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