NPI age
16 years
Enumerated 2009-10-20
Across 3776 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 207943601 | |
| 01 (TX) | 8W0999 | BCBS |
| 01 (TX) | P00803068 | RR MEDICARE |
| 01 (TX) | 207943602 | MEDICAID CSHCN |
Part of a multi-provider practice. 3675 other active providers share this practice address in NPPES.
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