NPI age
20 years
Enumerated 2006-05-18
Across 408 active radiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 187044619 | CSHCN MEDICAID |
| 05 (TX) | 187044618 | |
| 01 (TX) | 8LB580 | BCBS |
Part of a multi-provider practice. 3675 other active providers share this practice address in NPPES.
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