NPI age
20 years
Enumerated 2005-08-01
Across 957 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P00820670 | GROUP MEMBER INDIVIDUAL RRM PTAN # |
| 01 (TX) | 8U9330 | BCBS |
| 05 (TX) | 161998302 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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