Organization
FRONTIER RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN OWENS (CEO)
(512) 659-4467
Entity
Organization
Contact information
Practice address
3101 HIGHWAY 71E SUITE 108, BASTROP, TX 78602
(512) 332-0222
(512) 332-0227
Mailing address
209 WATERSONG LANE, GEORGETOWN, TX 78628
(512) 659-4467
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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