NPI age
19 years
Enumerated 2007-04-20
Across 957 active podiatrist providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | DG5248 | MEDICARE RAILROAD |
| 05 (TX) | 189758901 | |
| 01 (TX) | 0011RL | BCBS PIN |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 1 individual provider on file at this primary address.
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