NPI age
13 years
Enumerated 2012-07-30
Across 957 active podiatrist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8MT028 | BLUE CROSS AND BLUE SHIELD |
| 05 (TX) | 346947003 | |
| 01 (TX) | 7854240001 | DME LICENSE NUMBER |
| 01 (TX) | P02482063 | RAIL ROAD MEDICARE |
| 01 (TX) | 2456064 | WELLCARE ID |
| 01 (TX) | 1C9075 | MEDICARE NUMBER |
Solo or small practice. No other active providers share this practice address in NPPES.
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