NPI age
19 years
Enumerated 2006-09-02
Across 957 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 4209016 | AETNA |
| 01 (TX) | B19A | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 1104721036 |
Solo or small practice. No other active providers share this practice address in NPPES.
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