NPI age
19 years
Enumerated 2007-03-02
Across 3776 active radiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 190251202 | |
| 05 (TX) | 190251208 | |
| 01 (TX) | 190251209 | MEDICAID-CSHCN |
| 01 (TX) | 190251203 | CSHCN |
| 01 (TX) | 8W2048 | BCBS |
| 01 (TX) | 8NV199 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | Q00018973 | RAILROAD MEDICARE |
Part of a multi-provider practice. 3675 other active providers share this practice address in NPPES.
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