NPI age
19 years
Enumerated 2006-08-23
Across 957 active podiatrist providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8B8071 | MEDICARE INDIVIDUAL PTAN |
| 01 (TX) | 00528W | MEDICARE GROUP PTAN |
| 05 (TX) | 152063702 | |
| 01 (TX) | 5304710001 | MEDICARE DME PTAN |
| 05 (TX) | 171187104 |
Multi-provider organization. 1 individual provider on file at this primary address.
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