Organization
TEXAS RADIOLOGY ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TED S WEN M.D. (PARTNER)
(972) 867-7862
Entity
Organization
Contact information
Practice address
460 ENA RD, 200, HONOLULU, HI 96815-1779
(972) 867-7862
(972) 612-1623
Mailing address
PO BOX 2285, INDIANAPOLIS, IN 46206-2285
(866) 437-9810
(469) 757-1095
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009767
BCBS
TX
05
—
081568001
—
TX
05
—
081568002
—
TX
05
—
218812001
—
TX
01
—
DC0892
RR MEDICARE
TX
Enumeration date
10/26/2011
Last updated
09/09/2013
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