NPI age
20 years
Enumerated 2006-02-24
Across 163 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P01242887 | RAILROAD MEDICARE |
| 05 (TX) | 112216007 | |
| 05 (TX) | 112216009 | |
| 01 (TX) | 75-2018765 | TAX ID |
| 05 (TX) | 112216008 | |
| 05 (TX) | 112216010 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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