NPI age
18 years
Enumerated 2007-12-11
Across 3776 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (OH) | 35.092843 | 35.092843 |
| 01 (TX) | M7874 | TX LIC# M7874 |
| 01 (NM) | MD2010-0147 | NEW MEXICO |
Part of a multi-provider practice. 86 other active providers share this practice address in NPPES.
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