NPI age
18 years
Enumerated 2007-07-16
Across 3776 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (NY) | 171821 | MEDICAL LICENSE |
| 01 (MO) | 2005025948 | MEDICAL LICENSE |
Part of a multi-provider practice. 65 other active providers share this practice address in NPPES.
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