NPI age
18 years
Enumerated 2008-04-23
Across 1136 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8AW296 | BLUE CROSS BLUE SHIELD PROVIDER # |
| 01 (TX) | P00677666 | RAIL ROAD MEDICARE GROUP MEMBER PTAN |
| 05 (TX) | 195625201 |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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