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General NPI Number Information
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NPI Number | 1932854023
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Entity Type | Organization
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Legal Business Name | BEXAR IMAGING CENTER LLC
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Dates
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Enumeration Date | 02/16/2022
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 7355 BARLITE BLVD STE 201
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City | SAN ANTONIO
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State | TX
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Zip | 78224-1340
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Country | US
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Telephone | 210-806-9255
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Fax | 210-806-9256
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Provider Business Mailing Address
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Address Line | 19500 IH-10W MS 1-5030 ATTN: LICENSING & REGULATORY
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City | SAN ANTONIO
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State | TX
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Zip | 78257
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Country | US
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Telephone | 210-617-4706
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Fax | 210-617-4069
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | MR. JOSEPH ZIMMERMAN
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Credential |
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Telephone | 210-617-4741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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