NPI age
19 years
Enumerated 2006-07-31
Across 3776 active radiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (MO) | 205919806 | |
| 01 | 430954380CAP | MERCY HEALTH PLAN |
| 01 (IL) | 036-107490 | IL BLUE CROSS BLUE SHIELD |
| 01 (TX) | L1084 | MEDICAL LICENSE |
| 01 (MO) | 185214 | MO BLUE CROSS BLUE SHIELD |
| 01 (TX) | 60117868 | DPS |
| 01 | 063896 | HEALTH ALLIANCE |
| 05 (AR) | 149233001 | |
| 01 | 524893 | HEALTHLINK |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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