RADIOLOGY ASSOCIATION P.A.
Radiology at Daventry Ln, San Antonio, TX

License number
Texas H1175
Category
Radiology
Type
Diagnostic Radiology
Owner
Name: DR. RAUL ALEJANDRO PELAEZ ANTELO M.D.
Title: OWNER
Phone: (830) 257-8484
Address
Address 2
2 Daventry Ln, San Antonio, TX 78257
PO Box 291286, Kerrville, TX 78029
National Provider ID: 1043439144
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RADIOLOGY ASSOCIATION, PA

2 Daventry Ln, San Antonio, TX 78257

Status:
Inactive
Industry:
Membership Organization
Doing business as:
Radiology Association, PA
Registration:
Sep 20, 2002
State ID:
0800125290
Business type:
Professional Association
President, Director, Member:
Raul Pelaez President, Director, Member, inactive
Agent:
Raul A. Pelaez,#2 Daventry, San Antonio, TX 78257 (Physical)
TIN:
32035854754
Categories:
Physicians & Surgeons

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