San Marcos Medical Imaging Pllc
LBN: San Marcos Medical Imaging Pllc
San Marcos Medical Imaging Pllc is an health care organization with primary practice located at 1301 Wonder World Dr , San Marcos TX 78666-7533. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty.
San Marcos Medical Imaging Pllc can be contacted via phone (512) 396-8565, or through De La Iglesia, Gregory C. via phone (512) 396-8565.
Contact Information
Primary practice address
1301 Wonder World Dr
San Marcos TX 78666-7533
Phone: (512) 396-8565
Fax: (512) 396-8567
Website:
Authorized official contact:
Name: De La Iglesia, Gregory C. Doctor of Medicine (MD)
Phone: (512) 396-8565
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | H7991 | Texas |
Profile Details
| NPI number | 1861519175 |
|---|---|
| LBN Legal business name | San Marcos Medical Imaging Pllc |
| DBA Doing business as | |
| Authorized official | De La Iglesia, Gregory C. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Jun 16th, 2017 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861519175 | NPPES |
| Texas | MEDICAID | 103672502 | |
| Texas | Other | 00TS99 | |
| Texas | Other | 83R493 |
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