NPI age
20 years
Enumerated 2005-06-10
Across 957 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 157919501 | MEDICAID DME GROUP |
| 05 (TX) | 120654203 | |
| 01 (TX) | 018805401 | MEDICAID GROUP |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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