Healthcare Provider Details

I. General information

NPI: 1700823101
Provider Name (Legal Business Name): US RADIOLOGY PARTNERS OF TEXAS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 STRICKLAND DR
ORANGE TX
77630-4717
US

IV. Provider business mailing address

PO BOX 266
SAN ANTONIO TX
78291-0266
US

V. Phone/Fax

Practice location:
  • Phone: 409-883-9361
  • Fax:
Mailing address:
  • Phone: 972-929-6633
  • Fax: 409-724-0214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: GREG LOWENSTEIN
Title or Position: PRESIDENT
Credential:
Phone: 972-929-6633