NPI age
20 years
Enumerated 2006-03-28
Across 957 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 88792N | BLUE SHIELD |
| 01 (TX) | 480030743 | RR/MEDICARE |
| 05 (TX) | 1056665-02 |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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