NPI age
20 years
Enumerated 2005-11-15
Across 24 active radiologic technologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | L05225 | RADIOACTIVE LICENSE |
| 01 (TX) | 0109DC | BCBS PROV NUMBER |
Single-site organization. Only one practice location on file.
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