NPI age
20 years
Enumerated 2006-04-10
Across 163 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 163178001 | |
| 01 (TX) | 8K7970 | BCBS |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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