NPI: 1174580138 · LONGVIEW, TX 75605 · Diagnostic Radiology Physician · NPI assigned 04/26/2006
| Authorized Official | PITTMON, MICHAEL (ADMINISTRATOR) |
| NPI Enumeration Date | 04/26/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,437 | $2K |
| 2019 | 1,595 | $2K |
| 2020 | 136 | $282.05 |