Provider Demographics
NPI:1538400700
Name:MOUNTAIN VIEW RADIOLOGY PA
Entity type:Organization
Organization Name:MOUNTAIN VIEW RADIOLOGY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:D
Authorized Official - Last Name:SPERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-544-7300
Mailing Address - Street 1:10501 GATEWAY BLVD W
Mailing Address - Street 2:SUITE 140
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-7934
Mailing Address - Country:US
Mailing Address - Phone:915-544-7300
Mailing Address - Fax:915-833-3500
Practice Address - Street 1:10501 GATEWAY BLVD W
Practice Address - Street 2:SUITE 140
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7934
Practice Address - Country:US
Practice Address - Phone:915-544-7300
Practice Address - Fax:915-833-3500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-12
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1927174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty