Provider Demographics
NPI:1306244405
Name:SOUTH TEXAS INTERVENTIONAL RADIOLOGY GROUP
Entity type:Organization
Organization Name:SOUTH TEXAS INTERVENTIONAL RADIOLOGY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAENZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-351-5831
Mailing Address - Street 1:1416 E EXPRESSWAY 83
Mailing Address - Street 2:STE. 2
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-4530
Mailing Address - Country:US
Mailing Address - Phone:956-564-1497
Mailing Address - Fax:888-584-7768
Practice Address - Street 1:1416 E EXPRESSWAY 83
Practice Address - Street 2:STE. 2
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-4530
Practice Address - Country:US
Practice Address - Phone:956-564-1497
Practice Address - Fax:888-584-7768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-05
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X
TXN27672085B0100X, 2085R0202X, 2085U0001X, 2085R0204X
TX208VP0000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody ImagingGroup - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty