NPI age
20 years
Enumerated 2005-07-12
Across 957 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 5416760001 | MEDICARE RAILROAD PTAN |
| 05 (TX) | 154982601 | |
| 05 (TX) | 1549826 04 | |
| 01 (TX) | 8V4730 | BCBS ID |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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