NPI age
20 years
Enumerated 2006-05-18
Across 3776 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | G0103214 | DPS |
| 05 (TX) | P00050CB5 | |
| 01 (TX) | J6341 | MEDICAL LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES.
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