NPI age
19 years
Enumerated 2006-08-04
Across 568 active radiology providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (IL) | 036109243 | |
| 05 (TX) | 363548401 | |
| 05 (TX) | 363548402 |
Solo or small practice. No other active providers share this practice address in NPPES.
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