NPI age
18 years
Enumerated 2007-11-04
Across 163 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0053JB | BLUE CROSS BLUE SHIELD |
| 01 | P00217354 | MEDICARE RAILROAD |
| 01 (TX) | 00393Y | MEDICARE GROUP ID |
| 01 (TX) | 1621 | MEDICAL LICENSE |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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