NPI age
18 years
Enumerated 2007-11-16
Across 3776 active radiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (PR) | 17806 | MEDICAL LICENSE AT PUERTO RICO |
| 01 (TX) | M8017 | MEDICAL LICENSE AT TEXAS, USA |
Part of a multi-provider practice. 109 other active providers share this practice address in NPPES.
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