NPI age
20 years
Enumerated 2005-10-28
Across 3776 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 122597103 | |
| 01 (TX) | 88R744 | BCBS |
| 01 (TX) | B006 | CHAMPUS |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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