Alpine Diagnostic Imaging, PA

Organization Active NPI Diagnostic Radiology Physician · Alpine, TX

NPI 1851499792 · NPPES record last updated Jun 17, 2008

Key facts

NPI
1851499792
Entity type
Organization (NPI type 2)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
K9132 (TX)
Legal business name
ALPINE DIAGNOSTIC IMAGING, PA
Practice address
2600 N Highway 118
Alpine, TX 79830-2002
Phone
(432) 837-0207
Fax
(432) 837-0275
NPI assigned
Sep 21, 2006
Organization subpart
No

Authorized official

Name
Dr. Gerhard Moeller, M.D.
Title
President
Phone
(432) 837-0207

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2085R0202X K9132 TX Yes

Addresses

Primary practice location

2600 N Highway 118
Alpine, TX 79830-2002

Mailing address

2600 N Highway 118
Alpine, TX 79830-2002
Phone (432) 837-0207

Other identifiers

IdentifierTypeStateIssuer
1633992-01MedicaidTX
8B0690OtherTXBC/BS PROVIDER #

Other names

  • Alpine Diagnostic Imaging, PLLC Former legal business name

Other providers in Alpine, TX

All providers in Alpine, TX · Diagnostic Radiology Physician in Texas

Sources for this page

Verify at the official NPI Registry.