Healthcare Provider Details

I. General information

NPI: 1801827779
Provider Name (Legal Business Name): RADIOLOGY SERVICES OF EL PASO, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 N OREGON ST RADIOLOGY DEPT
EL PASO TX
79902-3524
US

IV. Provider business mailing address

PO BOX 277711
ATLANTA GA
30384-7711
US

V. Phone/Fax

Practice location:
  • Phone: 915-521-1200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number State

VIII. Authorized Official

Name: JEFF HENDERSON
Title or Position: PRESIDENT
Credential:
Phone: 225-756-1954