Healthcare Provider Details

I. General information

NPI: 1902197502
Provider Name (Legal Business Name): RADIOLOGY ASSOCIATES OF UVALDE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2011
Last Update Date: 02/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 GARNER FIELD RD
UVALDE TX
78801-4809
US

IV. Provider business mailing address

1025 GARNER FIELD RD
UVALDE TX
78801-4809
US

V. Phone/Fax

Practice location:
  • Phone: 830-278-6521
  • Fax: 830-278-8529
Mailing address:
  • Phone: 830-278-6251
  • Fax:

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. BARRY N FLANDERS
Title or Position: PRESIDENT
Credential: MD
Phone: 830-278-6521