Provider Demographics
NPI:1700861572
Name:RADIOLOGY ASSOCIATES OF SAN ANTONIO,P.A.
Entity Type:Organization
Organization Name:RADIOLOGY ASSOCIATES OF SAN ANTONIO,P.A.
Other - Org Name:ADVANCED MEDICAL IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:V
Authorized Official - Last Name:RATNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-733-4400
Mailing Address - Street 1:4400 S PIEDRAS DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1223
Mailing Address - Country:US
Mailing Address - Phone:210-733-4400
Mailing Address - Fax:210-733-4401
Practice Address - Street 1:2829 BABCOCK RD
Practice Address - Street 2:SUITE 215
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-9500
Practice Address - Country:US
Practice Address - Phone:210-733-4400
Practice Address - Fax:210-733-4401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00BC90Medicare ID - Type Unspecified