NPI age
18 years
Enumerated 2007-10-29
Across 1136 active podiatrist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 480032276 | RR MCR |
| 05 (TX) | 145229401 | |
| 01 | 8AJ107 | BC |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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