NPI age
20 years
Enumerated 2006-05-10
Across 408 active radiology providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 003RP | BCBS GROUP |
| 05 (TX) | 171710003 | |
| 01 (TX) | 00Z8364 | MEDICARE GROUP |
| 01 (TX) | 8BK450 | BCBS |
| 01 (TX) | 203040501 | MEDICAID GROUP |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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