NPI age
19 years
Enumerated 2006-10-04
Across 957 active podiatrist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 121553504 | |
| 01 | 480034725 | MEDICARE RAILROAD |
| 01 | 83001G | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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