Organization
EAST SAN ANTONIO IMAGES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMUND D HARRIS MD (OWNER)
(512) 279-4501
Entity
Organization
Contact information
Practice address
6300 BRIDGE POINT PKWY, BLDG 3, AUSTIN, TX 78730-5073
(512) 279-4501
Mailing address
7201 RR 2222, SUITE 2312, AUSTIN, TX 78730-3208
(512) 279-4501
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
H6836
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046WK
BCBS
TX
Enumeration date
02/25/2011
Last updated
05/10/2017
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