| NPI | 1194469221 |
|---|---|
| Former Legal Business Name | RADIOLOGY AND IMAGING OF SOUTH TEXAS |
| Entity Type | Organization |
| Authorized Contact | JOHN P STAGG CEO 504-459-3208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-04-28 |