NPI age
20 years
Enumerated 2005-06-16
Across 1136 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 8J1211 | BCBS |
| 01 (TX) | P00062358 | RAIL ROAD MEDICARE |
| 05 (TX) | 0185787-02 | |
| 01 | 5473733 | AETNA |
Solo or small practice. No other active providers share this practice address in NPPES.
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