NPI age
20 years
Enumerated 2006-05-10
Across 3776 active radiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (CA) | 00G793440 | BLUE SHIELD |
| 05 (CA) | 00G793440 | |
| 01 (CA) | 00G793440159 | CALOPTIMA |
Part of a multi-provider practice. 244 other active providers share this practice address in NPPES.
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