NPI age
19 years
Enumerated 2007-04-04
Across 1136 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 188879403 | |
| 05 (TX) | 188879405 | |
| 05 (TX) | 188879401 | |
| 01 (TX) | P01026742 | RAILROAD MEDICARE |
| 05 (TX) | 188879402 | |
| 01 (TX) | 8G9747 | BCBS PIN |
| 05 (TX) | 188879404 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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