Organization
SOUTH TEXAS RADIOLOGY GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL ZIEMKE (CHIEF EXECUTIVE OFFICER)
(210) 616-7700
Entity
Organization
Contact information
Practice address
COLONNADE I, 9901 IH-10 WEST, SUITE 905, SAN ANTONIO, TX 78230
(210) 616-7700
Mailing address
COLONNADE I, 9901 IH-10 WEST, SUITE 905, SAN ANTONIO, TX 78230-5900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121681401
—
TX
01
—
121681402
CSHCN
TX
Enumeration date
03/07/2006
Last updated
04/02/2024
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