Organization
ALPINE DIAGNOSTIC IMAGING, PA
Active
Other names
Alpine Diagnostic Imaging, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERHARD MOELLER M.D. (PRESIDENT)
(432) 837-0207
Entity
Organization
Contact information
Practice address
2600 N HIGHWAY 118, ALPINE, TX 79830-2002
(432) 837-0207
(432) 837-0275
Mailing address
2600 N HIGHWAY 118, ALPINE, TX 79830-2002
(432) 837-0207
(432) 837-0275
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K9132
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1633992-01
—
TX
01
—
8B0690
BC/BS PROVIDER #
TX
Enumeration date
09/21/2006
Last updated
06/17/2008
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