NPI age
20 years
Enumerated 2005-08-09
Across 957 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00K731 | BLUE CROSS BLUE SHIELD ID |
| 01 (TX) | 4038572 | AETNA PROVIDER ID |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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