NPI age
19 years
Enumerated 2006-06-23
Across 957 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 4072893 | AETNA |
| 05 (TX) | 092851701 | |
| 01 (TX) | 80202X | BCBS |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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