NPI age
20 years
Enumerated 2006-05-25
Across 568 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (IN) | 200533870 | |
| 01 (IN) | 11501477 | CAQH 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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