NPI age
19 years
Enumerated 2006-07-27
Across 568 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1590648-01 | MEDICAID GROUP |
| 01 (TX) | 1590473-01 | MEDICAID GROUP |
| 01 (TX) | 00250T | GROUP MEDICARE PIN |
| 01 | P00840676 | RR MEDICARE PTAN |
| 01 (TX) | 00251T | MEDICARE GROUP PIN |
| 01 | 7030770 | AETNA PIN # |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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