Provider Demographics
NPI:1730115080
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 REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:A
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:409-724-6095
Mailing Address - Fax:
Practice Address - Street 1:258 REA STREET
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845
Practice Address - Country:US
Practice Address - Phone:978-784-0837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0000277Medicare PIN