# PMC FOOT AND ANKLE CLINIC PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922579267
- **Authorized official:** ERIC R BLANSON DPM (SURGEON)
- **Authorized official phone:** (832) 585-1620

## Contact information

- **Practice address:** 128 VISION PARK BLVD STE 135, SHENANDOAH, TX 77384-3017
- **Practice address phone:** (832) 585-1620
- **Practice address fax:** (855) 787-3211
- **Mailing address:** 128 VISION PARK BLVD STE 135, SHENANDOAH, TX 77384-3017
- **Mailing address phone:** (832) 585-1620
- **Mailing address fax:** (855) 787-3211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ER0200X | Radiology Podiatrist | — | NULL | — |
| 213ER0200X | Radiology Podiatrist | — | — | — |
| 213ES0000X | Sports Medicine Podiatrist | — | NULL | — |
| 213ES0000X | Sports Medicine Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2018
- **Last updated:** 05/08/2024