NPI age
19 years
Enumerated 2006-08-23
Across 3776 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 145999202 | |
| 01 (TX) | 8B0690 | BCBS PROVIDER # |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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