| Organization Name: | COASTAL BEND PET SCAN LTD |
| NPI Number: | 1013026939 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS W ERTZNER (PARTNER) |
| Mailing Address: | 1533 5th St Corpus Christi |
| State: | TX US |
| Postal Code: | 784041901 |
| Phone Number: | 3618807226 |
| Fax Number: | 3618816252 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 11/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085N0904X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Nuclear Radiology |
| Taxonomy Definition: | A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |