NPI age
20 years
Enumerated 2005-11-30
Across 102 active radiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (MA) | 2069440 | |
| 01 (MA) | J27632 | BCBS MA |
| 01 (MA) | 469348 | TUFTS HEALTH PLAN |
Part of a multi-provider practice. 259 other active providers share this practice address in NPPES.
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