NPI age
19 years
Enumerated 2006-06-15
Across 33 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8081J7 | BCBS |
| 05 (TX) | 104393703 | |
| 01 (TX) | 104393704 | CSHCN |
Part of a multi-provider practice. 810 other active providers share this practice address in NPPES.
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