NPI age
18 years
Enumerated 2007-08-05
Across 3776 active radiology providers in Texas.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (ME) | 1295926483 | |
| 05 (TX) | 204266501 | |
| 01 | 879930768 | MYUTMB 879930768 |
Solo or small practice. No other active providers share this practice address in NPPES.
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