Medical Imaging Diagnostic Associates
Organization Active NPI Diagnostic Radiology Physician · Alice, TX
NPI 1609831379 · NPPES record last updated Apr 9, 2008
Key facts
- NPI
- 1609831379
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- MEDICAL IMAGING DIAGNOSTIC ASSOCIATES
- Practice address
- 700 N Airport Rd
Alice, TX 78332 - Phone
- (361) 661-8000
- NPI assigned
- Apr 18, 2006
- Organization subpart
- No
Authorized official
- Name
- James Walton Lively, MD
- Title
- President
- Phone
- (361) 906-0969
Practitioners 25
-
Samuel Bennett, M.D.
-
Jeffrey M Bikle, MD
-
Sebastian Cerna, M.D.
-
Ann Kathleen Cox, MD
-
Hai P Dang, M.D.
-
Victor H Gil, MD
-
David C Graumlich, M.D.
-
Martin G. Guerrero, M.D.
-
Muhammad B Khan, M.D.
-
Fred Martin, M.D.
-
Bing Obaldo, MD
-
Sebastian Padron, MD
-
Dante M. Pepito, M.D.
-
Hugh Nole West, MD
-
Jess Graham, M.D.
-
Jackie Leong, M.D.
-
Douglas Malcom Middleton, M.D.
-
Lucho L Rossman, M.D.
-
Karen W. Simmons, MD
-
Harold A Tate, M.D.
-
Wesley C Williams II, M.D.
National Provider Directory
Locations
101 N Shoreline Blvd
Ste 303
Corpus Christi, TX 78401
Phone (512) 883-2991
3537 S Staples
Gulf Coast Imaging
Corpus Christi, TX 78411
Phone (361) 906-0969
1300 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661
10201 McPherson Rd
Laredo, TX 78045
Phone (956) 795-7760
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
700 N Airport Rd
Alice, TX 78332
Mailing address
PO Box 1888
Greenville, TX 75403-1888
Phone (800) 945-2455
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127265002 | Medicaid | TX |
Other providers in Alice, TX
- Ana Ynfante Mayorga
- Michael Christian Vince McCarty
- MCH of Corpus Christi, Inc.
- Rhonda Jean McLaughlin-Camacho
- Daniella Medellin
- Medquick Supplies LLC
- Erika Ann Mendez
- Tara Mendietta
- Ricardo Elias Mendiondo Jr.
- Mi Casa Hospice, L.L.C
All providers in Alice, TX · Diagnostic Radiology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.