MEDICARE: UNIVERSITY TOWERS RADIOLOGY ASSOCIATES, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1609811835
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY TOWERS RADIOLOGY ASSOCIATES, P.A.

Provider Business Mailing Address
First Line	:	5959 GATEWAY BLVD W
Second Line	:	STE. 120
City	:	EL PASO
State	:	TX
Zip	:	79925-3331
Country	:	US
Telephone Number	:	915-779-1716
Fax Number	:	915-771-6558

Provider Business Practice Location Address
First Line	:	1900 N OREGON ST
Second Line	:	STE 101
City	:	EL PASO
State	:	TX
Zip	:	79902-3351
Country	:	US
Telephone Number	:	915-838-1004
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ARTHUR WINSTON PUIZ
Credential	:	M.D.
Telephone Number	:	915-838-1004

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	08/22/2020

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