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NPI Code Detail

MEDICARE: CENTRAL TX RADIOLOGY & SPINE CONSULTANTS PA

MEDICARE: CENTRAL TX RADIOLOGY & SPINE CONSULTANTS PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085N0700XNeuroradiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10029KDOTHERTXBCBS

General Provider Information

NPI Number : 1821029224
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL TX RADIOLOGY & SPINE CONSULTANTS PA
Provider Business Mailing Address
First Line : PO BOX 164326
Second Line :
City : AUSTIN
State : TX
Zip : 78716-4326
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4316 JAMES CASEY ST STE E1
Second Line :
City : AUSTIN
State : TX
Zip : 78745-1157
Country : US
Telephone Number : 512-306-0648
Fax Number :
Authorized Official
Title or Position : RADIOLOGIST
Name : DR. SCOTT EUGENE CAMPBELL
Credential : MD
Telephone Number : 512-306-0648
Provider Enumeration Date : 07/05/2006
Last Update Date : 03/25/2008

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Directions to “CENTRAL TX RADIOLOGY & SPINE CONSULTANTS PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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