NPI: 1275994477 · MISSION, TX 78572 · Radiology Clinic/Center · NPI assigned 03/15/2016
| Authorized Official | REMACHE, IVAN (ADMINISTRATOR) |
| NPI Enumeration Date | 03/15/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 13 | $210.18 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 71046 | Radiologic examination, chest; 2 views | 13 | 12 | $210.18 |