Organization Name: | CEDAR PARK RADIOLOGY L.P. |
NPI Number: | 1083661862 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN OWENS (OWNER) |
Mailing Address: | 715 Discovery Blvd Suite 102 Cedar Park |
State: | TX US |
Postal Code: | 786132287 |
Phone Number: | 5122598222 |
Fax Number: | 5122598270 |
NPI Enumeration Date: | 05/27/2006 |
NPI Last Update Date: | 01/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471C3402X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Radiography |
Taxonomy Definition: |