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
Address Po Box 1005, San Marcos, Texas
Phone Number 5123968565
Fax Number 5123968567
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name De La Iglesia C. Gregory
Credentials MD
Telephone Number 5123968565

NPI Number Detail

NPI Number 1861519175
Provider Enumeration Date 2007-03-23
Last Updated Date 2017-06-16

Provider Mailing Address Detail

Address Po Box 1005
City San Marcos
State Texas (TX)
Post Code 786671005
Phone Number 5123968565
Fax Number 5123968567

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
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

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FAQs about San Marcos Medical Imaging Pllc

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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