Organization Active NPI

West Texas Radiology PA

  • Diagnostic Radiology Physician
  • El Paso, TX
National Provider Identifier
1801067830
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WEST TEXAS RADIOLOGY PA
Practice address
3280 Joe Battle Blvd
El Paso, TX 79938-2622
Phone
(915) 921-8763
NPI assigned
Mar 18, 2008
Last updated
Oct 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Jeffery S. Krantz, D.O.
Title
Owner
Phone
(281) 359-7788

Specialties & licenses 1

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

Addresses

Primary practice location

3280 Joe Battle Blvd
El Paso, TX 79938-2622

Mailing address

800 Rockmead Dr
Suite 210
Kingwood, TX 77339-2112
Phone (281) 359-7788

Other identifiers 1

IdentifierTypeStateIssuer
1991069-02MedicaidTX

National Provider Directory

National Provider Directory

Locations

3080 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 298-3607

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1801067830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROCKMEAD DR",
            "address_2": "SUITE 210",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392112",
            "telephone_number": "281-359-7788",
            "fax_number": "281-359-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 JOE BATTLE BLVD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382622",
            "telephone_number": "915-921-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS RADIOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "KRANTZ",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-359-7788",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1991069-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.