NPI age
20 years
Enumerated 2005-08-10
Across 3776 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 120388704 | |
| 01 (TX) | G7240 | WORK COMP |
| 01 (TX) | 00GE62 | BLUE CROSS OF TEXAS |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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