NPI age
19 years
Enumerated 2006-06-23
Across 1136 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 018603301 | |
| 01 (TX) | 10032164 | AMERIGROUP PROVIDER NUMBE |
| 01 (TX) | 8A3610 | BCBS PROVIDER NUMBER |
| 01 (TX) | 2374431 | AETNA HMO PROVIDER NUMBER |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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