Healthcare Provider Details
I. General information
NPI: 1700861572
Provider Name (Legal Business Name): RADIOLOGY ASSOCIATES OF SAN ANTONIO,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/14/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2829 BABCOCK RD SUITE 215
SAN ANTONIO TX
78229-9500
US
IV. Provider business mailing address
4400 S PIEDRAS DR SUITE 200
SAN ANTONIO TX
78228-1223
US
V. Phone/Fax
- Phone: 210-733-4400
- Fax: 210-733-4401
- Phone: 210-733-4400
- Fax: 210-733-4401
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ADAM
V.
RATNER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 210-733-4400