NPI age
20 years
Enumerated 2006-03-28
Across 568 active radiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 146926405 | |
| 01 (OK) | 100753280E | OKLAHOMA MEDICAID |
| 01 (TX) | 8B7336 | BLUE SHIELD |
| 01 (TX) | 920006655 | RR/MEDICARE |
| 05 (TX) | 1469264-01 | |
| 01 (TX) | 1469264-03 | CSHCN |
| 05 (TX) | 146926406 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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