| NPI | 1922579267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC R BLANSON Surgeon 832-585-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213ER0200X Podiatrist, Radiology |
| 213ES0000X Podiatrist, Sports Medicine | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2024-05-08 |