NPI age
19 years
Enumerated 2007-03-17
Across 957 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1934 | TEXAS STATE BOARD LICENSE |
| 05 (TX) | 212649201 |
Part of a multi-provider practice. 84 other active providers share this practice address in NPPES.
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