NPI age
19 years
Enumerated 2007-03-19
Across 1136 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0098PM | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 282978001 | |
| 01 (TX) | 119891305 | MEDICAID PERFORMING PROVIDER INDIVIDUAL NUMBER |
Single-site organization. Only one practice location on file.
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