NPI age
20 years
Enumerated 2006-03-27
Across 3776 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1266231-04 | |
| 01 (TX) | 1266231-03 | CSHCN |
| 01 (TX) | 80433K | BLUE SHIELD |
| 01 (TX) | 300115734 | RR/MEDICARE |
Part of a multi-provider practice. 1981 other active providers share this practice address in NPPES.
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