NPI age
19 years
Enumerated 2007-01-30
Across 3776 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (AR) | 166470001 | |
| 05 (OK) | 200125920 | |
| 01 (UT) | 5413741-1205 | STATE LICENSE |
| 05 (TX) | 189281201 | |
| 01 (AR) | E5324 | AR STATE LIC |
| 01 (TX) | M6682 | TX STATE LIC |
| 01 (AR) | 84627 | AR BCBS |
| 01 (TX) | 8AK783 | TX BCBS |
| 01 (TX) | P00462773 | RAILROAD MEDICARE |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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