NPI age
19 years
Enumerated 2006-08-30
Across 1136 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 157841101 | |
| 05 (TX) | 157841122 | |
| 01 (TX) | 49886670017 | PTAN |
| 01 (TX) | 00817U | BCBS |
Single-site organization. Only one practice location on file.
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