San Marcos Medical Imaging Pllc in San Marcos - Diagnostic Radiology
San Marcos Medical Imaging Pllc - NPI 1861519175
San Marcos Medical Imaging Pllc is a Diagnostic Radiology in San Marcos, Texas. San Marcos Medical Imaging Pllc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for San Marcos Medical Imaging Pllc is 1861519175. The last update date is 2017-06-16.
San Marcos Medical Imaging Pllc's current location address is Po Box 1005, San Marcos, Texas. You can contact this provider via phone number 5123968565 and fax number 5123968567. The mailing address for San Marcos Medical Imaging Pllc is Po Box 1005, San Marcos, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | San Marcos Medical Imaging Pllc |
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Address | Po Box 1005, San Marcos, Texas |
Phone Number | 5123968565 |
Fax Number | 5123968567 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | De La Iglesia C. Gregory |
Credentials | MD |
Telephone Number | 5123968565 |
NPI Number Detail
NPI Number | 1861519175 |
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Provider Enumeration Date | 2007-03-23 |
Last Updated Date | 2017-06-16 |
Provider Mailing Address Detail
Address | Po Box 1005 |
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City | San Marcos |
State | Texas (TX) |
Post Code | 786671005 |
Phone Number | 5123968565 |
Fax Number | 5123968567 |
Provider's Primary Taxonomy Detail
Speciality | Diagnostic Radiology |
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Taxonomy | 2085R0202X |
Licence No | H7991 |
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
103672502 | TX | -- | |
00TS99 | TX | BCBS | |
83R493 | TX | MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to San Marcos Medical Imaging Pllc?
The San Marcos Medical Imaging Pllc has been issued the NPI (National Provider Identifier) 1861519175 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where San Marcos Medical Imaging Pllc is physically located?
The San Marcos Medical Imaging Pllc is situated at the following address: Po Box 1005, San Marcos, TX 786671005.
What is San Marcos Medical Imaging Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for San Marcos Medical Imaging Pllc is Diagnostic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1861519175 to San Marcos Medical Imaging Pllc?
The San Marcos Medical Imaging Pllc received its 1861519175 assignment from the Centers for Medicare & Medicaid Services on 2007-03-23.
As of what date were the details related to San Marcos Medical Imaging Pllc most recently updated or revised?
The information pertaining to San Marcos Medical Imaging Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2017-06-16.
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