NPI age
20 years
Enumerated 2006-04-25
Across 3776 active radiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 116857701 | COUNTY AGENCY |
| 01 (TX) | 88R995 | BLUE CROSS BLUE SHIELD TX |
| 01 (TX) | 117915 | CHIP PROGRAM |
| 05 (TX) | 88R991 | |
| 01 (TX) | MDJ2634 | WORKERS COMP |
| 01 (TX) | P00048099 | TRAVELER MEDICARE |
| 01 (TX) | 012079 | TX KINDNEY HEALTH |
| 01 (TX) | 116857702 | CIDC |
Part of a multi-provider practice. 165 other active providers share this practice address in NPPES.
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