NPI age
19 years
Enumerated 2006-08-24
Across 3776 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | K7003 | TEXAS LICENSE |
| 01 (TX) | P00466431 | RAILROAD MEDICARE |
| 01 (TX) | 0440919-04 | MEDICAID - STRIC |
| 01 (TX) | 8K3589 | MEDICARE - STRIC |
| 01 (TX) | P00466436 | RAILROAD MEDICARE |
| 05 (TX) | 0440919-05 | |
| 05 (TX) | 0440919-06 |
Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.
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