NPI age
19 years
Enumerated 2007-02-19
Across 3776 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P00463013 | RR MEDICARE |
| 01 (TX) | M5813 | STATE MEDICAL LICENSE |
| 01 (GA) | 052198 | STATE MEDICAL LICENSE |
| 05 (TX) | 188618601 | |
| 01 (OK) | 26572 | STATE MEDICAL LICENSE |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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