Organization
DIAGNOSTIC RADIOLOGY SPECIALISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN J VANCURA M.D. (OWNER)
(254) 634-6999
Entity
Organization
Contact information
Practice address
2201 S CLEAR CREEK RD, KILLEEN, TX 76549-4110
(254) 634-6999
Mailing address
PO BOX 938, KILLEEN, TX 76540-0938
(254) 634-6999
(254) 200-4090
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R76R
BLLUE CROSS BLUE SHIELD
TX
05
—
094949702
—
TX
01
—
C16279
MEDICARE RAILROAD
TX
Enumeration date
06/11/2006
Last updated
04/02/2015
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