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ALPINE DIAGNOSTIC IMAGING PA NPI 1851499792


NPI Information

NPI: 1851499792
Provider Name: ALPINE DIAGNOSTIC IMAGING, PA

Former Legal Business Name: ALPINE DIAGNOSTIC IMAGING, PLLC

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2600 N HIGHWAY 118
ALPINE, TX
ZIP 79830
Phone: (432) 837-0207
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ALPINE DIAGNOSTIC IMAGING, PA is a diagnostic radiology radiology in Alpine, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ALPINE DIAGNOSTIC IMAGING, PA NPI is 1851499792. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Alpine Diagnostic Imaging, Pllc.

The provider's business location address is:

2600 N HIGHWAY 118
ALPINE, TX
ZIP 79830-002
Phone: (432) 837-0207
Fax: (432) 837-0275

The provider's authorized official is Gerhard Moeller .
The authorized official title is President and has the following contact phone number (432) 837-0207.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 6/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyK9132TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100124WMEDICARE ID-TYPE UNSPECIFIEDTEXAS
21633992-01MEDICAIDTEXAS
38B0690OTHERTEXASBC/BS PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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