NPI age
20 years
Enumerated 2006-02-28
Across 3776 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 047456110 | |
| 01 (TX) | 047456111 | CSHCN |
| 01 (TX) | L1003 | TEXAS MEDICAL LICENSE |
| 01 (TX) | 047456112 | STRIC MEDICAID |
Part of a multi-provider practice. 101 other active providers share this practice address in NPPES.
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