NPI age
15 years
Enumerated 2011-05-19
Across 3776 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (OH) | 34.009484 | LICENSE |
| 01 (OH) | P00959668 | RR MEDICARE |
| 05 (PA) | 1026309900001 | |
| 05 (OH) | 3149051 |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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