NPI age
20 years
Enumerated 2006-03-22
Across 957 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 614244 | MEDICARE ID PART B |
| 01 (TX) | 8J8600 | BCBS OF TEXAS |
| 05 (TX) | 159662901 |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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