NPI age
16 years
Enumerated 2010-04-01
Across 408 active radiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 358744602 | |
| 01 (TX) | P02403658 | RR MEDICARE |
| 01 (TX) | 358744603 | CSHCN MEDICAID |
| 01 (TX) | 8LW233 | BCBS |
Part of a multi-provider practice. 3675 other active providers share this practice address in NPPES.
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