NPI age
20 years
Enumerated 2005-08-24
Across 957 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 176132202 | |
| 01 (TX) | 8EC351 | BCBS PIN |
| 01 (TX) | 8BG720 | BCBS PIN |
| 05 (TX) | 176132203 | |
| 01 (TX) | P00439882 | MEDICARE RAILROAD |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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