NPI age
19 years
Enumerated 2006-06-15
Across 102 active radiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (IN) | 000000393408 | ANTHEM BCBS |
| 01 (IN) | P00742714 | RAILROAD MEDICARE |
| 05 (IN) | 200529570 |
Part of a multi-provider practice. 144 other active providers share this practice address in NPPES.
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