Organization
SAN ANTONIO DIAGNOSTIC IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE ROSS (DIRECTOR OF MANAGED CARE)
(281) 772-7749
Entity
Organization
Contact information
Practice address
10007 HUEBNER RD, BUILDING 2, SUITE 204, SAN ANTONIO, TX 78240-1640
(210) 696-0360
(210) 696-1725
Mailing address
PO BOX 2569, STAFFORD, TX 77497-2569
(800) 249-3478
(713) 592-6772
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112643502
—
TX
Enumeration date
08/25/2006
Last updated
06/11/2015
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