NPI age
19 years
Enumerated 2006-07-18
Across 957 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 4488639 | AETNA |
| 05 (TX) | 127185004 | |
| 01 (TX) | 00N06C | BCBS |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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