Provider Demographics
NPI:1326311952
Name:ASTRO X-RAY LLC
Entity Type:Organization
Organization Name:ASTRO X-RAY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:E
Authorized Official - Last Name:HRNCIR
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:512-844-4759
Mailing Address - Street 1:337 POENISCH DR.
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412
Mailing Address - Country:US
Mailing Address - Phone:512-844-4759
Mailing Address - Fax:361-881-9202
Practice Address - Street 1:337 POENISCH DR.
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412
Practice Address - Country:US
Practice Address - Phone:512-844-4759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX127882293D00000X
TX152219293D00000X
TX293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory