NPI age
20 years
Enumerated 2005-07-12
Across 1136 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 4198865 | AETNA |
| 01 (TX) | 0072GZ | BC/BS OF TEXAS |
| 05 (TX) | 089559103 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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