Healthcare Provider Details

I. General information

NPI: 1033175567
Provider Name (Legal Business Name): RADIOLOGY CONSULTANTS L L P
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2006
Last Update Date: 01/07/2023
Certification Date: 01/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 SAINT MICHAEL DR
TEXARKANA TX
75503-2372
US

IV. Provider business mailing address

PO BOX 3488
TUPELO MS
38803-3488
US

V. Phone/Fax

Practice location:
  • Phone: 903-223-1014
  • Fax: 903-223-1028
Mailing address:
  • Phone: 903-223-1014
  • Fax: 903-223-1028

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: DR. D SCOTT CAMPANINI
Title or Position: PARTNER
Credential: M.D.
Phone: 903-223-1014