NPI age
20 years
Enumerated 2006-04-11
Across 568 active radiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 588333ZVH9 | MEDICARE |
| 05 (TX) | 376839201 | |
| 01 (AZ) | 805848 | AHCCCS |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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