Provider Demographics
NPI:1386818417
Name:ISUANI RADIOLOGY, P.A.
Entity Type:Organization
Organization Name:ISUANI RADIOLOGY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:E
Authorized Official - Last Name:ISUANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-532-0010
Mailing Address - Street 1:4150 RIO BRAVO ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-1055
Mailing Address - Country:US
Mailing Address - Phone:915-532-0010
Mailing Address - Fax:915-532-0012
Practice Address - Street 1:4150 RIO BRAVO
Practice Address - Street 2:SUITE 201
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1054
Practice Address - Country:US
Practice Address - Phone:915-532-0010
Practice Address - Fax:915-532-0012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE97132085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB23711Medicare UPIN
TXB23711Medicare PIN