Organization Active NPI

Vanguard Imaging and Infusion, LLC

  • Diagnostic Radiology Physician
  • Schertz, TX
National Provider Identifier
1023808425
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
VANGUARD IMAGING AND INFUSION, LLC
Practice address
17766 Verde Parkway, Suite 220
Schertz, TX 78154
Phone
(214) 714-8603
NPI assigned
May 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Glen Ray Wyant, MD
Title
Sole Owner
Phone
(214) 714-8603

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary
Infusion Therapy Clinic/Center 261QI0500X

Addresses

Primary practice location

17766 Verde Parkway, Suite 220
Schertz, TX 78154

Mailing address

9402 Vinewood Dr
Dallas, TX 75228-4176
Phone (214) 714-8603

National Provider Directory

National Provider Directory

Locations

17766 Verde Pkwy
Ste 220
Selma, TX 78154
Phone (214) 714-8603

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1023808425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9402 VINEWOOD DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752284176",
            "telephone_number": "214-714-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17766 VERDE PARKWAY, SUITE 220",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "78154",
            "telephone_number": "214-714-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD IMAGING AND INFUSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "WYANT",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "214-714-8603",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.