NPI age
18 years
Enumerated 2007-05-30
Across 3776 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 200133330 | |
| 01 (IA) | 55046 | WELLMARK BCBS |
| 05 (TX) | 194365601 |
Part of a multi-provider practice. 47 other active providers share this practice address in NPPES.
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