NPI age
20 years
Enumerated 2005-07-13
Across 568 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 371701100 | |
| 05 (TX) | 2876633-01 | |
| 01 (TX) | 631214ZM4M | MEDICARE |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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