Individual
CARL J. BLOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 CONGRESS ST, PORTLAND, ME 04102-2143
(207) 774-5222
Mailing address
7142 SAN PEDRO AVE STE 120, SAN ANTONIO, TX 78216-6256
(210) 661-5622
(210) 798-6811
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
F8413
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119151201
—
TX
01
—
390001456
MEDICARE RAILROAD
TX
Enumeration date
12/06/2005
Last updated
08/01/2023
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