NPI age
20 years
Enumerated 2006-02-21
Across 3776 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | A002 | DIA TRICARE GRP PROV # |
| 01 (TX) | 00F23Y | DIA BCBS GRP PROV # |
Single-site organization. Only one practice location on file.
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