NPIMap

Organization Active NPI

South Texas MRI LTD

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1578626875
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SOUTH TEXAS MRI LTD
Practice address
7930 Floyd Curl Dr
2ND Floor
San Antonio, TX 78229-3925
Phone
(210) 617-9850
Fax
(210) 616-7749
NPI assigned
Dec 18, 2006
Last updated
Sep 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Mr. Philip J. Russell, CMPE
Title
Agent
Phone
(210) 616-7796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

7930 Floyd Curl Dr
2ND Floor
San Antonio, TX 78229-3925

Mailing address

7930 Floyd Curl Dr FL 2
P. O. Box 291088
San Antonio, TX 78229-3925
Phone (210) 617-9850

Other identifiers 2

IdentifierTypeStateIssuer
TXB106950OtherTXSTMRI MEDICARE
127701401MedicaidTX

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7930 Floyd Curl Dr
Fl 2
San Antonio, TX 78229
Phone (210) 617-9850

Practitioners & affiliated clinicians

Practitioners 78

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 78

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1578626875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7930 FLOYD CURL DR FL 2",
            "address_2": "P. O. BOX 291088",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293925",
            "telephone_number": "210-617-9850",
            "fax_number": "210-616-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7930 FLOYD CURL DR",
            "address_2": "2ND FLOOR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293925",
            "telephone_number": "210-617-9850",
            "fax_number": "210-616-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS MRI LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "210-616-7796",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CMPE"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STMRI MEDICARE",
            "identifier": "TXB106950",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127701401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.