NPI age
19 years
Enumerated 2006-11-28
Across 3776 active radiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | ME93738 | LICENSE |
| 01 (MO) | 2003008023 | MISSOURI MEDICAL LICENSE |
Part of a multi-provider practice. 259 other active providers share this practice address in NPPES.
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