NPI age
19 years
Enumerated 2007-05-23
Across 3776 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (LA) | 4M935F600 | MEDICARE - PTAN |
| 05 (LA) | 2104055 |
Part of a multi-provider practice. 812 other active providers share this practice address in NPPES.
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