Provider Demographics
NPI:1821752387
Name:REGIONAL SONOGRAPHY PLLC
Entity Type:Organization
Organization Name:REGIONAL SONOGRAPHY PLLC
Other - Org Name:REGIONAL SONOGRAPHY PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-639-0583
Mailing Address - Street 1:2010 S CYNTHIA ST STE 108
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1387
Mailing Address - Country:US
Mailing Address - Phone:956-960-7686
Mailing Address - Fax:956-322-3773
Practice Address - Street 1:2010 S CYNTHIA ST STE 108
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1387
Practice Address - Country:US
Practice Address - Phone:956-960-7686
Practice Address - Fax:956-322-3773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-29
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty