NPI age
20 years
Enumerated 2005-06-16
Across 163 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 87M511 | BLUE CROSS/BLUE SHIELD |
| 01 (TX) | 0528390001 | PALMETTO DME |
| 01 (TX) | 4369815 | AETNA |
| 05 (TX) | 121578204 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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