NPI age
19 years
Enumerated 2006-06-04
Across 568 active radiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 143534902 | |
| 01 (TX) | P02601743 | MCRR |
| 01 (TX) | 1L4788 | MEDICARE |
| 01 (TX) | 8R1389 | BLUE CROSS OF TEXAS |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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