NPI age
20 years
Enumerated 2005-07-07
Across 1136 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 172754701 | |
| 05 (TX) | 167654601 | |
| 05 (TX) | 1727547-01 | |
| 01 | P00139152 | RR MEDICARE |
| 01 | 0048LK | BLUE CROSS |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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