NPI age
20 years
Enumerated 2005-08-16
Across 568 active radiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (IN) | P01155989 | RAILROAD MEDICARE PIN |
| 05 (IN) | 200374430 | |
| 01 (IN) | P00103259 | RAILROAD MEDICARE PIN |
Solo or small practice. No other active providers share this practice address in NPPES.
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