Individual
COLLIN EUGENE PEHDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
701 S ZARZAMORA ST, SAN ANTONIO, TX 78207-5209
(210) 358-7717
(210) 358-7707
Mailing address
701 S ZARZAMORA ST, SAN ANTONIO, TX 78207-5209
(210) 358-7717
(210) 358-7707
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
2166
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
00782
IA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2166
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912278490
WELLMARK BCBS
IA
05
—
1912278490
—
IA
05
—
352540401
—
TX
01
—
447448ZRNC
MEDICARE PTAN
TX
01
—
8FL880
BLUE CROSS BLUE SHIELD OF TEXAS
TX
01
—
P01045640
RR MEDICARE
IA
Enumeration date
08/18/2005
Last updated
05/20/2022
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