NPI age
20 years
Enumerated 2005-07-15
Across 957 active podiatrist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 004395004 | AETNA |
| 01 (TX) | 00FJ64 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 0187064-01 | |
| 01 (TX) | 0288250001 | DMERC NSC |
| 01 (TX) | 0288250002 | DMERC NSC ROCKWALL |
| 01 (TX) | 124202100 | FIRSTCARE |
| 01 (TX) | 480004770 | RAILROAD MEDICARE |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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