NPI age
16 years
Enumerated 2009-08-05
Across 957 active podiatrist providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 315622601 | |
| 01 | 8DL780 | BCBSTX |
| 01 | 9836906 | AETNA |
| 01 | 200864279 | TRICARE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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