NPI age
19 years
Enumerated 2006-07-21
Across 1136 active podiatrist providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | DC0070 | MEDICARE RAILROAD |
| 01 (TX) | 0066LE | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 166302301 |
Multi-provider organization. 1 individual provider on file at this primary address.
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