NPI age
19 years
Enumerated 2006-07-24
Across 568 active radiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 201572741 | TRICARE |
| 01 | P00201720 | RR MEDICARE |
| 01 | 201572741 | MEDICAL MUTUAL |
| 05 (OH) | 2250942 | |
| 01 | 201572741027 | CARESOURCE |
| 01 | 000000353030 | ANTHEM |
Solo or small practice. No other active providers share this practice address in NPPES.
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