Organization Name: | IC IMAGING OF BROWNSVILLE LLC |
NPI Number: | 1013006121 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM R MARTIN (MEDICAL DIRECTOR) |
Mailing Address: | 155 B Uptown Ave Brownsville |
State: | TX US |
Postal Code: | 78520 |
Phone Number: | 9567391886 |
Fax Number: | 9565465201 |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | G9769 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |