Provider Demographics
NPI:1629271705
Name:IMAGING PARTNERS OF SAN ANTONIO, LLLP
Entity Type:Organization
Organization Name:IMAGING PARTNERS OF SAN ANTONIO, LLLP
Other - Org Name:THE IMAGING CENTRE AT THE QUARRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-675-2600
Mailing Address - Street 1:423 TREELINE PARK
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-1997
Mailing Address - Country:US
Mailing Address - Phone:210-248-0650
Mailing Address - Fax:210-826-1470
Practice Address - Street 1:423 TREELINE PARK
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1997
Practice Address - Country:US
Practice Address - Phone:210-248-0650
Practice Address - Fax:210-826-1470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty