Outpatient Imaging

NPI #1033144951 in El Paso, Texas

Provider Information

NPI Number: 1033144951
Entity Type: Organization
Organization Name: Outpatient Imaging
Primary Specialty: Specialist
Enumeration Date: Jul 11, 2006
Last Updated: Dec 3, 2007

Practice Location

Address: 6065 MONTANA AVE
Address 2: STE. A-6
City: El Paso
State: Texas
ZIP Code: 79925-1835
Phone: (505) 532-8800

Authorized Official

Name: WILLIAM MATTHIAS BOUSHKA, MD
Title: OWNER
Phone: (505) 532-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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