NPI age
19 years
Enumerated 2006-07-11
Across 1136 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 110417604 | |
| 05 (TX) | 318683502 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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