NPI age
20 years
Enumerated 2006-03-03
Across 3776 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 104636905 | CSHCN |
| 05 (TX) | 104636903 | |
| 05 (TX) | 104636904 | |
| 01 (TX) | K0488 | TEXAS MEDICAL LICENSE |
Part of a multi-provider practice. 101 other active providers share this practice address in NPPES.
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