NPI age
14 years
Enumerated 2012-05-04
Across 3776 active radiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (IL) | ENROLLED | |
| 05 (MO) | 1508125014 |
Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.
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