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NPI Code Detail

MEDICARE: TEXAS RADIOLOGY ASSOCIATES LLP

MEDICARE: TEXAS RADIOLOGY ASSOCIATES LLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235162751
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS RADIOLOGY ASSOCIATES LLP
Provider Business Mailing Address
First Line : 1820 PRESTON PARK BLVD
Second Line : 1825
City : PLANO
State : TX
Zip : 75093-5215
Country : US
Telephone Number : 972-867-7862
Fax Number : 972-612-1623
Provider Business Practice Location Address
First Line : 401 W CAMPBELL RD
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-3416
Country : US
Telephone Number : 972-231-1441
Fax Number :
Authorized Official
Title or Position : PARTNER
Name : MR. TED S WEN
Credential : MD
Telephone Number : 972-867-7862
Provider Enumeration Date : 07/08/2006
Last Update Date : 02/24/2017

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Directions to “TEXAS RADIOLOGY ASSOCIATES LLP ” Practice Location

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