NPI age
19 years
Enumerated 2007-01-04
Across 163 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 147689702 | |
| 01 (TX) | 8K7143 | BCBS |
| 01 (TX) | 10572631 | CAQH |
Part of a multi-provider practice. 60 other active providers share this practice address in NPPES.
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