NPI age
20 years
Enumerated 2006-01-26
Across 957 active podiatrist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00G39Y | BC/BS NUMBER |
| 05 (TX) | 110364002 |
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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