NPI age
20 years
Enumerated 2005-11-11
Across 1136 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | F000DX906 | |
| 01 (TX) | 89480Y | BCBS PROVIDER |
| 01 (TX) | 00DX90 | BCBS PROVIDER |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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