NPI age
19 years
Enumerated 2006-07-30
Across 3776 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (MI) | 43010774455 | MEDICAL LICENSE NUMBER |
| 01 (TX) | L3347 | MEDICAL LICENSE NUMBER |
| 01 (FL) | ME-0073118 | MEDICAL LICENSE NUMBER |
| 01 (CA) | AO68320 | MEDICAL LICENSE NUMBER |
| 01 (OH) | 35-07-8584-I | MEDICAL LICENSE NUMBER |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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