NPI age
20 years
Enumerated 2006-02-21
Across 3776 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 86R222 | DIA BCBSTX PROV# |
| 05 (TX) | 136852407 | |
| 01 (TX) | 81755R | SWMI BCBSTX PROV# |
Part of a multi-provider practice. 27 other active providers share this practice address in NPPES.
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