NPI age
20 years
Enumerated 2005-11-19
Across 24 active radiologic technologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 470000228 | RR MCR NUMBER |
| 01 (TX) | L05762 | RADIOACTIVE LICENSE |
| 01 (TX) | 0396DC | BCBS PROV.NUMBER |
| 05 (TX) | 087994201 |
Single-site organization. Only one practice location on file.
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