NPI age
20 years
Enumerated 2005-09-12
Across 957 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (WY) | 312912 | BLUE CROSS |
| 05 (TX) | 193055401 | |
| 05 (WY) | 120114000 |
Solo or small practice. No other active providers share this practice address in NPPES.
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