NPI age
19 years
Enumerated 2007-05-22
Across 568 active radiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (OK) | 200311330A | OKAHOMA MEDICAID |
| 05 (TX) | 214144202 | |
| 05 (TX) | 214144201 | |
| 01 (TX) | P00942262 | MEDICARE RAILROAD |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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