Provider Demographics
NPI:1033418173
Name:AUSTIN ULTRASOUND SERVICES
Entity Type:Organization
Organization Name:AUSTIN ULTRASOUND SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VASCULAR TECHNOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-522-3903
Mailing Address - Street 1:1300 N 10TH ST
Mailing Address - Street 2:340-A
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-2680
Mailing Address - Country:US
Mailing Address - Phone:956-905-0600
Mailing Address - Fax:
Practice Address - Street 1:1300 NORTH 10TH ST
Practice Address - Street 2:SUITE 340A
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501
Practice Address - Country:US
Practice Address - Phone:956-905-0600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRVS00069021261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile