Active NPI 1215960737 Individual Practitioner Male Practitioner

Dr. Daniel Mason Dow , MD

Radiology - Diagnostic Radiology • Rockwall, TX

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Dow, MD is a registered healthcare professional specializing in Radiology - Diagnostic Radiology in Rockwall, TX. Practice services are available at 909 ROCKWALL PKWY under active NPI credentials.

Frequently performed procedures and clinical services include injection, gadoterate meglumine, 0.1 ml, low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, ct scan of chest with contrast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

909 Rockwall Pkwy

Rockwall, TX 750326502

Telephone 4696980045

Fax 4696980483

Associated Practice Facility / Clinic

🏢 Rockwall Diagnostic Imaging, Ltd Facility NPI 1013942044

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiology - Diagnostic Radiology in Rockwall, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 15.0 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

5 Specialists

Practicing in Rockwall, TX (3285 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9575 Injection, gadoterate meglumine, 0.1 ml	6,140	34	$0.68	$0.17
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	4,355	42	$1.31	$0.11
71260 Ct scan of chest with contrast	137	119	$218.32	$66.27
71046 X-ray of chest, 2 views	105	104	$81.78	$22.46
74177 Ct scan of abdomen and pelvis with contrast	80	72	$412.50	$104.56
71250 Ct scan of chest without contrast	78	70	$309.62	$87.89
72148 MRI scan of lower spinal canal	50	50	$1161.20	$201.43
74176 Ct scan of abdomen and pelvis without contrast	40	35	$491.50	$118.63
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	38	38	$295.00	$109.86
73700 Ct scan of leg without contrast	32	26	$500.00	$139.65
70553 Mri scan of brain before and after contrast	26	26	$1550.00	$338.96
70450 Ct scan head or brain without contrast	26	26	$550.00	$108.72
72100 X-ray of lower and sacral spine, 2-3 views	24	24	$88.75	$35.61
76770 Complete ultrasound scan behind abdominal cavity	23	23	$341.09	$106.12
73721 Mri scan of leg joint without contrast	22	20	$1050.00	$199.05
76700 Ultrasound of abdomen	22	22	$340.91	$108.36
73030 X-ray of shoulder, minimum of 2 views	22	18	$102.23	$30.79
70551 Mri scan of brain without contrast	21	21	$986.19	$208.58
93880 Ultrasound of both sides of head and neck blood flow	19	19	$427.63	$184.21
71045 X-ray of chest, 1 view	19	19	$30.00	$8.99
73560 X-ray of knee, 1-2 views	19	15	$89.21	$29.58
72141 MRI scan of upper spinal canal	17	17	$954.71	$192.71
36415 Insertion of needle into vein for collection of blood sample	16	16	$15.00	$2.95
82565 Blood creatinine level	16	16	$26.00	$5.04
74018 X-ray of abdomen, 1 view	15	15	$91.33	$25.50
73221 Mri scan of arm joint without contrast	15	15	$975.00	$220.94
76705 Limited ultrasound scan of abdomen	14	14	$295.00	$85.93
73630 X-ray of foot, minimum of 3 views	13	12	$94.69	$27.91
70450 Ct scan head or brain without contrast	12	11	$145.00	$43.01
73610 X-ray of ankle, minimum of 3 views	12	12	$105.00	$33.44
74178 Ct scan of abdomen and pelvis before and after contrast	11	11	$1444.09	$308.37
74160 Ct scan of abdomen with contrast	11	11	$250.00	$63.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9575 Injection, gadoterate meglumine, 0.1 ml	21,960	131	$0.50	$0.27
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	15,130	141	$1.28	$0.11
71046 X-ray of chest, 2 views	346	308	$83.25	$22.03
71260 Ct scan of chest with contrast	343	243	$218.28	$65.03
74177 Ct scan of abdomen and pelvis with contrast	237	185	$485.02	$118.45
71250 Ct scan of chest without contrast	224	175	$317.30	$90.67
72148 MRI scan of lower spinal canal	155	154	$1168.71	$196.92
74176 Ct scan of abdomen and pelvis without contrast	127	108	$604.45	$135.31
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	124	117	$293.43	$106.05
70551 Mri scan of brain without contrast	122	121	$991.60	$201.31
70553 Mri scan of brain before and after contrast	108	107	$1526.57	$336.68
73721 Mri scan of leg joint without contrast	84	79	$1029.64	$208.72
70450 Ct scan head or brain without contrast	84	82	$535.54	$102.82
73700 Ct scan of leg without contrast	74	61	$495.61	$145.30
36415 Insertion of needle into vein for collection of blood sample	70	66	$15.00	$2.94
82565 Blood creatinine level	70	66	$26.00	$5.58
73560 X-ray of knee, 1-2 views	62	49	$90.56	$28.60
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	61	16	$9.73	$1.57
73221 Mri scan of arm joint without contrast	59	58	$975.00	$220.24
93880 Ultrasound of both sides of head and neck blood flow	59	58	$433.81	$186.39
76770 Complete ultrasound scan behind abdominal cavity	56	55	$339.02	$103.70
72100 X-ray of lower and sacral spine, 2-3 views	56	55	$86.79	$31.67
73630 X-ray of foot, minimum of 3 views	55	49	$86.73	$23.83
76700 Ultrasound of abdomen	50	50	$342.00	$111.32
72141 MRI scan of upper spinal canal	48	48	$967.92	$178.86
74160 Ct scan of abdomen with contrast	44	36	$309.66	$85.01
76705 Limited ultrasound scan of abdomen	42	42	$295.00	$81.96
73562 X-ray of knee, 3 views	41	33	$85.00	$22.04
76536 Ultrasound of head and neck	41	40	$263.66	$103.57
73130 X-ray of hand, minimum of 3 views	41	29	$93.90	$27.20
73030 X-ray of shoulder, minimum of 2 views	39	35	$97.18	$26.19
74018 X-ray of abdomen, 1 view	36	36	$87.36	$24.50
70491 CT scan of neck with contrast	32	26	$420.00	$127.64
74150 Ct scan of abdomen without contrast	31	23	$273.39	$68.42
73610 X-ray of ankle, minimum of 3 views	31	29	$86.13	$24.99
70486 CT scan of face	30	29	$527.33	$124.86
73502 X-ray of hip, 2-3 views	29	29	$93.97	$34.65
74178 Ct scan of abdomen and pelvis before and after contrast	23	22	$1564.57	$310.69
93970 Ultrasound study of arm or leg veins with compression and maneuvers	23	23	$459.35	$170.62
72131 CT scan of lower spine	21	21	$531.19	$144.35
93925 Ultrasound of leg arteries or artery grafts	21	21	$531.19	$223.58
G0297 Low dose ct scan (ldct) for lung cancer screening	20	20	$550.00	$224.17
72040 X-ray of upper spine, 2-3 views	18	17	$92.22	$32.18
76830 Ultrasound pelvis through vagina	17	17	$285.00	$110.74
71275 Ct scan of blood vessels of chest with contrast	16	15	$1001.56	$236.59
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	16	15	$350.00	$164.49
72146 Mri scan of middle spinal canal	16	16	$1200.00	$202.30
73590 X-ray of lower leg, 2 views	15	14	$73.00	$18.59
72070 X-ray of middle spine, 2 views	14	14	$105.00	$32.49
73110 X-ray of wrist, minimum of 3 views	14	14	$77.14	$23.05
70470 Ct scan of head or brain before and after contrast	13	13	$543.85	$144.96
75635 CT scan of abdominal aorta and both leg arteries with contrast	12	12	$850.00	$303.57
76706 Ultrasound scan of abdominal aorta	12	12	$167.50	$100.64
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	12	12	$425.00	$143.17
93922 Ultrasound study of arm and leg arteries	11	11	$245.91	$54.94
71045 X-ray of chest, 1 view	11	11	$30.00	$8.52
70544 Mri scan of blood vessels of head without contrast	11	11	$854.55	$245.03
72158 Mri scan of lower spinal canal before and after contrast	11	11	$2175.00	$310.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	11,931	119	$0.44	$0.12
A9575 Injection, gadoterate meglumine, 0.1 ml	5,262	62	$0.65	$0.20
71046 X-ray of chest, 2 views	415	390	$73.33	$17.59
71260 Ct scan of chest with contrast	240	203	$224.35	$65.88
71250 Ct scan of chest without contrast	214	185	$290.65	$84.62
74177 Ct scan of abdomen and pelvis with contrast	158	138	$463.92	$110.57
71045 X-ray of chest, 1 view	155	142	$30.00	$8.76
72148 MRI scan of lower spinal canal	135	135	$826.37	$151.26
74176 Ct scan of abdomen and pelvis without contrast	129	120	$416.86	$101.81
76770 Complete ultrasound scan behind abdominal cavity	116	115	$226.29	$61.71
74018 X-ray of abdomen, 1 view	112	104	$50.80	$11.97
71046 X-ray of chest, 2 views	106	94	$52.00	$10.54
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	102	100	$207.06	$70.15
70551 Mri scan of brain without contrast	100	99	$641.95	$141.62
74178 Ct scan of abdomen and pelvis before and after contrast	90	88	$757.78	$161.27
36415 Insertion of needle into vein for collection of blood sample	88	86	$15.00	$2.92
82565 Blood creatinine level	88	86	$26.00	$6.15
70553 Mri scan of brain before and after contrast	87	87	$953.85	$237.25
73630 X-ray of foot, minimum of 3 views	87	69	$70.34	$16.68
73560 X-ray of knee, 1-2 views	86	67	$61.10	$15.77
70450 Ct scan head or brain without contrast	76	74	$145.00	$40.19
76700 Ultrasound of abdomen	72	72	$213.89	$60.93
73030 X-ray of shoulder, minimum of 2 views	71	64	$68.06	$16.32
76536 Ultrasound of head and neck	69	66	$196.38	$66.38
93880 Ultrasound of both sides of head and neck blood flow	68	68	$313.97	$130.22
70450 Ct scan head or brain without contrast	64	64	$429.77	$84.79
72100 X-ray of lower and sacral spine, 2-3 views	60	60	$83.50	$27.64
73721 Mri scan of leg joint without contrast	51	47	$630.88	$137.87
73502 X-ray of hip, 2-3 views	50	49	$71.72	$24.00
72141 MRI scan of upper spinal canal	50	50	$661.20	$137.97
73130 X-ray of hand, minimum of 3 views	44	32	$66.59	$17.11
73221 Mri scan of arm joint without contrast	41	39	$651.59	$156.94
73562 X-ray of knee, 3 views	38	33	$62.42	$14.88
93970 Ultrasound study of arm or leg veins with compression and maneuvers	38	38	$257.11	$91.64
76705 Limited ultrasound scan of abdomen	35	35	$217.29	$57.35
77080 Dxa bone density measurement of hip, pelvis, spine	35	35	$50.00	$9.79
73110 X-ray of wrist, minimum of 3 views	33	29	$55.76	$14.29
73610 X-ray of ankle, minimum of 3 views	31	29	$75.65	$19.89
70486 CT scan of face	31	31	$308.71	$64.60
G0297 Low dose ct scan (ldct) for lung cancer screening	30	30	$512.50	$203.01
72110 X-ray of lower and sacral spine, minimum of 4 views	28	28	$83.57	$28.29
74160 Ct scan of abdomen with contrast	26	25	$322.12	$89.22
74150 Ct scan of abdomen without contrast	26	24	$282.69	$73.36
71270 Ct scan of chest before and after contrast	25	25	$470.00	$117.58
72040 X-ray of upper spine, 2-3 views	24	23	$86.67	$27.70
72131 CT scan of lower spine	23	23	$343.91	$96.65
73030 X-ray of shoulder, minimum of 2 views	23	23	$44.00	$9.16
73630 X-ray of foot, minimum of 3 views	23	22	$38.00	$7.88
74176 Ct scan of abdomen and pelvis without contrast	23	23	$295.00	$84.19
72125 Ct scan of upper spine without contrast	21	21	$155.00	$50.89
76870 Ultrasound scan of scrotum	21	20	$153.10	$37.74
76830 Ultrasound pelvis through vagina	20	19	$157.50	$53.85
72146 Mri scan of middle spinal canal	20	19	$909.00	$157.73
73502 X-ray of hip, 2-3 views	19	19	$41.00	$10.87
93925 Ultrasound of leg arteries or artery grafts	19	19	$332.89	$135.62
72070 X-ray of middle spine, 2 views	19	19	$96.32	$28.41
75635 CT scan of abdominal aorta and both leg arteries with contrast	19	18	$592.11	$175.83
73562 X-ray of knee, 3 views	18	16	$43.00	$9.15
74177 Ct scan of abdomen and pelvis with contrast	18	17	$350.00	$88.59
71260 Ct scan of chest with contrast	17	16	$190.00	$59.52
73718 Mri scan of leg without contrast	17	16	$475.88	$128.07
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	16	16	$100.00	$21.67
72158 Mri scan of lower spinal canal before and after contrast	16	15	$1015.63	$201.99
72197 Mri scan of pelvis before and after contrast	16	16	$506.25	$178.82
73610 X-ray of ankle, minimum of 3 views	16	15	$40.00	$8.49
74170 Ct scan of abdomen before and after contrast	16	16	$480.00	$133.72
93922 Ultrasound study of arm and leg arteries	16	16	$165.00	$28.51
73130 X-ray of hand, minimum of 3 views	15	14	$40.00	$8.48
70470 Ct scan of head or brain before and after contrast	15	15	$435.33	$111.70
70491 CT scan of neck with contrast	15	14	$360.00	$103.04
73700 Ct scan of leg without contrast	15	11	$440.00	$127.12
72072 X-ray of middle spine, 3 views	14	14	$94.29	$26.11
76857 Limited ultrasound scan of pelvis	14	14	$157.86	$38.76
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$62.14	$10.87
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	13	13	$377.31	$126.32
73110 X-ray of wrist, minimum of 3 views	13	12	$40.00	$8.47
73060 X-ray of upper arm, minimum of 2 views	12	12	$55.00	$14.42
71101 X-ray of ribs on side of body, minimum of 3 views	12	11	$45.00	$13.29
74183 Mri scan of abdomen before and after contrast	11	11	$363.64	$131.13
74022 Complete x-ray study of abdomen with single x-ray of chest	11	11	$70.00	$15.58
73522 X-ray of both hips, 3-4 views	11	11	$82.27	$28.59
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	11	11	$211.82	$73.04
71275 Ct scan of blood vessels of chest with contrast	11	11	$979.55	$243.68
70551 Mri scan of brain without contrast	11	11	$210.00	$71.44
70498 Ct scan of blood vessels of neck with contrast	11	11	$604.55	$151.62
70492 Ct scan of soft tissue of neck before and after contrast	11	11	$354.55	$92.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71010 X-ray of chest, 1 view, front	306	250	$30.00	$8.50
71020 X-ray of chest, 2 views, front and side	237	218	$57.37	$11.69
71020 X-ray of chest, 2 views, front and side	230	205	$52.00	$10.22
70450 Ct scan head or brain without contrast	168	155	$145.00	$39.42
74000 X-ray of abdomen, single view	157	132	$40.70	$8.63
74178 Ct scan of abdomen and pelvis before and after contrast	120	113	$415.58	$95.28
72148 MRI scan of lower spinal canal	120	119	$310.83	$78.72
74176 Ct scan of abdomen and pelvis without contrast	104	102	$332.79	$87.43
73560 X-ray of knee, 1-2 views	103	71	$42.67	$8.79
77080 Dxa bone density measurement of hip, pelvis, spine	103	103	$50.00	$9.35
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	96	96	$106.09	$23.18
76770 Complete ultrasound scan behind abdominal cavity	89	87	$158.82	$38.09
71250 Ct scan of chest without contrast	89	81	$191.85	$51.56
76700 Ultrasound of abdomen	84	82	$152.38	$38.63
74177 Ct scan of abdomen and pelvis with contrast	79	73	$362.66	$87.45
76536 Ultrasound of head and neck	77	72	$126.04	$28.86
73130 X-ray of hand, minimum of 3 views	68	45	$43.82	$9.34
71260 Ct scan of chest with contrast	67	62	$197.24	$58.21
72141 MRI scan of upper spinal canal	63	63	$327.78	$83.47
73030 X-ray of shoulder, minimum of 2 views	59	50	$46.07	$9.39
73502 X-ray of hip, 2-3 views	55	51	$49.15	$13.85
74176 Ct scan of abdomen and pelvis without contrast	55	51	$295.00	$81.80
70553 Mri scan of brain before and after contrast	55	52	$306.18	$111.16
93880 Ultrasound of both sides of head and neck blood flow	54	54	$145.56	$50.53
73630 X-ray of foot, minimum of 3 views	50	40	$42.02	$8.95
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	50	49	$100.00	$20.64
70551 Mri scan of brain without contrast	48	48	$258.85	$76.67
73630 X-ray of foot, minimum of 3 views	47	40	$38.00	$7.91
73562 X-ray of knee, 3 views	46	41	$43.00	$8.88
73721 Mri scan of leg joint without contrast	44	38	$214.43	$66.46
74177 Ct scan of abdomen and pelvis with contrast	43	40	$350.00	$85.21
93970 Ultrasound study of arm or leg veins with compression and maneuvers	40	39	$115.00	$32.30
71260 Ct scan of chest with contrast	40	40	$190.00	$57.56
73221 Mri scan of arm joint without contrast	34	30	$309.71	$83.72
72100 X-ray of lower and sacral spine, 2-3 views	34	34	$69.71	$17.20
72125 Ct scan of upper spine without contrast	34	32	$155.00	$49.92
73562 X-ray of knee, 3 views	33	24	$47.97	$10.25
76700 Ultrasound of abdomen	33	31	$150.00	$37.90
73030 X-ray of shoulder, minimum of 2 views	33	31	$44.00	$8.84
70486 CT scan of face	33	32	$210.00	$39.43
93880 Ultrasound of both sides of head and neck blood flow	31	31	$115.00	$37.22
73502 X-ray of hip, 2-3 views	31	31	$41.00	$10.55
74022 Complete x-ray study of abdomen with single x-ray of chest	29	28	$70.00	$15.06
70450 Ct scan head or brain without contrast	27	25	$190.00	$45.59
73610 X-ray of ankle, minimum of 3 views	27	25	$42.41	$8.91
72146 Mri scan of middle spinal canal	27	26	$265.93	$65.96
73610 X-ray of ankle, minimum of 3 views	26	26	$40.00	$8.31
72100 X-ray of lower and sacral spine, 2-3 views	26	26	$60.00	$10.51
73110 X-ray of wrist, minimum of 3 views	26	19	$42.50	$9.09
71270 Ct scan of chest before and after contrast	25	22	$250.00	$64.53
76870 Ultrasound scan of scrotum	24	20	$121.67	$31.07
93970 Ultrasound study of arm or leg veins with compression and maneuvers	24	24	$130.00	$38.26
71250 Ct scan of chest without contrast	24	21	$175.00	$47.43
93922 Ultrasound study of arm and leg arteries	23	22	$112.50	$11.59
73130 X-ray of hand, minimum of 3 views	22	21	$40.00	$8.25
76705 Limited ultrasound scan of abdomen	21	21	$141.19	$32.77
74000 X-ray of abdomen, single view	21	17	$40.00	$8.56
73110 X-ray of wrist, minimum of 3 views	20	20	$40.00	$8.20
72131 CT scan of lower spine	20	20	$155.00	$44.64
71270 Ct scan of chest before and after contrast	19	17	$278.95	$73.86
72158 Mri scan of lower spinal canal before and after contrast	19	19	$320.00	$98.69
72197 Mri scan of pelvis before and after contrast	19	19	$275.00	$105.39
93925 Ultrasound of leg arteries or artery grafts	19	19	$115.00	$36.71
76830 Ultrasound pelvis through vagina	18	17	$115.00	$32.48
76770 Complete ultrasound scan behind abdominal cavity	17	16	$145.00	$34.48
70551 Mri scan of brain without contrast	17	17	$210.00	$68.88
74183 Mri scan of abdomen before and after contrast	16	16	$503.13	$150.65
70486 CT scan of face	15	14	$210.00	$38.61
71101 X-ray of ribs on side of body, minimum of 3 views	15	15	$45.00	$12.85
G0297 Low dose ct scan (ldct) for lung cancer screening	15	15	$300.00	$104.93
72110 X-ray of lower and sacral spine, minimum of 4 views	14	14	$63.93	$16.00
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	13	12	$109.62	$23.59
93922 Ultrasound study of arm and leg arteries	13	13	$110.58	$11.38
70491 CT scan of neck with contrast	13	11	$240.00	$63.85
73522 X-ray of both hips, 3-4 views	13	13	$59.62	$16.32
72131 CT scan of lower spine	12	12	$155.00	$45.10
72040 X-ray of upper spine, 2-3 views	12	12	$70.00	$19.93
76705 Limited ultrasound scan of abdomen	12	12	$125.00	$27.08
70492 Ct scan of soft tissue of neck before and after contrast	12	12	$325.00	$67.56
74178 Ct scan of abdomen and pelvis before and after contrast	11	11	$405.00	$93.67
73700 Ct scan of leg without contrast	11	11	$263.64	$70.73
73718 Mri scan of leg without contrast	11	11	$195.00	$62.67

Medical Specialties & State Licenses

Radiology - Diagnostic Radiology Primary Specialty

NUCC Taxonomy Code: 2085R0202X

State License TX L1021

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Thomas Saadeh , MD

Radiology - Diagnostic Radiology

NPI 1891927752

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 909 ROCKWALL PKWY, ROCKWALL, TX 750326502 (Tel: 4696980045)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 100, PARIS, TX 754610100 (Tel: 9037856029)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as DANIEL DOW, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Radiology (License #L1021 in TX)

🟢

Initial NPI Registration & Enumeration July 08, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215960737

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 08, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 100

Paris, TX 754610100

Phone: 9037856029

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