NPI age
20 years
Enumerated 2006-04-17
Across 3776 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 8U5021 | BCBS |
| 05 (TX) | 105612911 | |
| 05 (TX) | 105612909 |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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