Active NPI
University Radiology Services, PA
- Diagnostic Radiology Physician
- College Station, TX
National Provider Identifier
1447210653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- UNIVERSITY RADIOLOGY SERVICES, PA
- Practice address
- 4304 Clipstone PL
College Station, TX 77845-4850 - Phone
- (469) 757-1000
- NPI assigned
- Mar 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Philip Malone
- Title
- Operations Manager
- Phone
- (405) 321-8125
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
4304 Clipstone PL
College Station, TX 77845-4850
Mailing address
PO Box 103
Rockwall, TX 75087-0103
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1447210653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 103",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750870103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4304 CLIPSTONE PL",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778454850",
"telephone_number": "469-757-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY RADIOLOGY SERVICES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MALONE",
"authorized_official_first_name": "PHILIP",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "405-321-8125"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.