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General NPI Number Information
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NPI Number | 1356924047
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Entity Type | Organization
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Legal Business Name | SAN ANTONIO IMAGING, LTD
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Dates
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Enumeration Date | 04/30/2021
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Last Update Date | 04/30/2021
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Provider Practice Location Address
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Address Line | 16530 HUEBNER RD STE 401
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City | SAN ANTONIO
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State | TX
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Zip | 78248-1699
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Country | US
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Telephone | 210-858-3068
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Fax | 210-858-3069
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Provider Business Mailing Address
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Address Line | 4900 N 10TH ST STE F1
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City | MCALLEN
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State | TX
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Zip | 78504-2781
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Country | US
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Telephone | 956-668-8282
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | JENNIFER WILSON
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Credential |
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Telephone | 210-858-3068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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