NPI age
11 years
Enumerated 2014-06-27
Across 1136 active podiatrist providers in Texas.
14 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 375642104 | |
| 05 (TX) | 375642103 | |
| 05 (TX) | 375642107 | |
| 01 (TX) | 003VAA | BCBS TX |
| 05 (TX) | 375642105 | |
| 05 (TX) | 375642102 | |
| 05 (TX) | 375642106 | |
| 05 (TX) | 375642101 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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