Provider Demographics
NPI:1801011549
Name:NUCLEAR CARDIOVASCULAR SERVICES
Entity Type:Organization
Organization Name:NUCLEAR CARDIOVASCULAR SERVICES
Other - Org Name:SAN ANTONIO NUCLEAR CARDIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LEON
Authorized Official - Last Name:KOPECKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-614-3021
Mailing Address - Street 1:7922 EWING HALSELL
Mailing Address - Street 2:#240
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-614-3021
Mailing Address - Fax:210-616-0208
Practice Address - Street 1:7922 EWING HALSELL DR
Practice Address - Street 2:#240
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3786
Practice Address - Country:US
Practice Address - Phone:210-614-3021
Practice Address - Fax:210-616-0208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Single Specialty