# BLAZING INDIGO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VALLEY MEDICAL FOOT CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306161567
- **Authorized official:** MRS. NATASHA E BELTRE (CEO)
- **Authorized official phone:** (956) 782-6200

## Contact information

- **Practice address:** 409 W FM 495, SAN JUAN, TX 78589-3717
- **Practice address phone:** (956) 782-6200
- **Practice address fax:** (956) 782-6202
- **Mailing address:** 409 W FM 495, SAN JUAN, TX 78589-3717
- **Mailing address phone:** (956) 782-6200
- **Mailing address fax:** (956) 782-6202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 1412 | TX | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 1521 | TX | — |

## Other

- **Enumeration date:** 03/31/2010
- **Last updated:** 03/31/2010