NPI age
15 years
Enumerated 2011-04-15
Across 568 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 111815002 | GROUP MEDICAID |
| 05 (TX) | 365668801 | |
| 01 (TX) | 0019BY | GROUP MEDICARE |
| 05 (TX) | 365668802 | |
| 05 (TX) | 365668803 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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