NPI age
20 years
Enumerated 2005-08-03
Across 568 active radiology providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P00147937 | RR MEDICARE PTAN FOR GRP |
| 05 (TX) | 0303042-05 | |
| 01 (TX) | P00142763 | RR MEDICARE FOR GRP PTAN |
| 01 (TX) | 8499B0 | MEDICARE |
| 01 (TX) | 92004577 | RR MEDICARE PTAN |
| 01 (TX) | P00230852 | RR MEDICARE PTAN |
| 05 (TX) | 0303042-06 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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