Healthcare Provider Details

I. General information

NPI: 1801011549
Provider Name (Legal Business Name): NUCLEAR CARDIOVASCULAR SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7922 EWING HALSELL DR #240
SAN ANTONIO TX
78229-3786
US

IV. Provider business mailing address

7922 EWING HALSELL #240
SAN ANTONIO TX
78229
US

V. Phone/Fax

Practice location:
  • Phone: 210-614-3021
  • Fax: 210-616-0208
Mailing address:
  • Phone: 210-614-3021
  • Fax: 210-616-0208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER LEON KOPECKY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 210-614-3021