NPI age
20 years
Enumerated 2005-09-21
Across 3776 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 197247301 | |
| 05 (OK) | 200037680A | |
| 01 (OK) | 7166711 | AETNA |
| 01 (OK) | 487023201 | DOL |
| 01 (TX) | 8M2157 | BCBS |
| 01 (TX) | P00636050 | MEDICARE RAILROAD |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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