NPI age
17 years
Enumerated 2008-07-08
Across 957 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 339742401 | |
| 01 (TX) | 8EK881 | BCBS |
| 01 (TX) | 75-2616977-009 | TRICARE |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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