NPI age
18 years
Enumerated 2007-06-14
Across 568 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 094010801 | GROUP MEDICAID NUMBER |
| 05 (TX) | 206113703 | |
| 01 (TX) | 0019BY | GROUP MEDICARE NUMBER |
| 01 (TX) | 00J21A | GROUP MEDICARE NUMBER |
| 05 (TX) | 206113701 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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