Organization
ACD-SA, LTD.
Active
Other names
Sendero Imaging & Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TARA J MARTIN (ADMINISTRATOR)
(512) 454-9598
Entity
Organization
Contact information
Practice address
7220 LOUIS PASTEUR DR, 115, SAN ANTONIO, TX 78229-4537
(210) 614-8899
(512) 458-6770
Mailing address
PO BOX 301749, AUSTIN, TX 78703-0030
(512) 454-9597
(512) 458-6770
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
000393
TX
261QR0200X
Radiology Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109373402
—
TX
05
—
109373404
—
TX
01
—
470000396
RAILROAD MEDICARE
TX
01
—
490004721
RAILROAD MEDICARE
TX
Enumeration date
06/17/2006
Last updated
06/15/2015
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