Provider Demographics
NPI:1497836878
Name:US RADIOLOGY PARTNERS OF TEXAS INC
Entity Type:Organization
Organization Name:US RADIOLOGY PARTNERS OF TEXAS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-929-6633
Mailing Address - Street 1:PO BOX 266
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78291-0266
Mailing Address - Country:US
Mailing Address - Phone:409-724-6096
Mailing Address - Fax:
Practice Address - Street 1:410 GARRETT DR
Practice Address - Street 2:
Practice Address - City:KIRKSBILLE
Practice Address - State:MO
Practice Address - Zip Code:63501
Practice Address - Country:US
Practice Address - Phone:660-627-5298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MODG6721Medicare PIN
MO000015246Medicare PIN