NPI age
20 years
Enumerated 2006-04-27
Across 3776 active radiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 752961826A008 | CHAMPUS |
| 01 (TX) | 157336201 | COUNTY AGENCY |
| 01 (TX) | 120535 | CHIP PROGRAM |
| 01 (TX) | MDK6754 | WORKERS COMP |
| 05 (TX) | 157336201 | |
| 01 (TX) | 8H0680 | BLUE CROSS BLUE SHIELD TX |
| 01 (TX) | P00048098 | TRAVELER MEDICARE |
Part of a multi-provider practice. 66 other active providers share this practice address in NPPES.
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