NPI age
12 years
Enumerated 2014-04-01
Across 568 active radiology providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 404093302 | CSHCN MEDICAID |
| 01 (TX) | 8LU110 | BCBS |
| 05 (TX) | 404093301 |
Part of a multi-provider practice. 3675 other active providers share this practice address in NPPES.
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