NPI age
20 years
Enumerated 2006-02-21
Across 3776 active radiology providers in Texas.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | A001 | SWMI TRICARE GRP PROV # |
| 01 (TX) | 00T02K | SWMI BCBS PROV GRP # |
| 05 (TX) | 112619501 |
Multi-provider organization. 20 individual providers on file at this primary address.
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