NPI age
20 years
Enumerated 2005-10-18
Across 568 active radiology providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 100222760A | |
| 01 (AR) | 96943 | BCBS |
| 05 (AR) | 125767001 | |
| 01 (AR) | 90303900040 | QUAL CHOICE OF ARKANSAS |
| 05 (TX) | 034993801 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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