NPI age
19 years
Enumerated 2006-07-26
Across 957 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1782880-01 | |
| 01 (TX) | 2596273 | AETNA PROVIDER NUMBER |
| 01 (TX) | 8F7030 | BCBS PROVIDER NUMBER |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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