NPI age
19 years
Enumerated 2006-07-19
Across 93 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 157842901 | |
| 01 (TX) | P00216950 | RR MEDICARE |
| 01 (TX) | P00450858 | RR MEDICARE |
| 05 (TX) | 157844502 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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