NPI age
19 years
Enumerated 2006-06-02
Across 3776 active radiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 147520403 | CSHCN |
| 05 (TX) | 147520410 | |
| 01 (TX) | 8B2771 | BCBS |
| 01 (TX) | 300128667 | RAILROAD MEDICARE |
Part of a multi-provider practice. 810 other active providers share this practice address in NPPES.
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