Individual
WILLIAM FREDERICK BLANK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
18960 N MEMORIAL DR, HUMBLE, TX 77338-4216
(281) 540-6322
(713) 426-2034
Mailing address
21175 STATE HIGHWAY 249 # 192, HOUSTON, TX 77070-1655
(713) 254-2883
(713) 426-2034
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1416
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112184002
—
TX
05
—
112184003
—
TX
01
—
P00381651
RAILROAD MEDICARE
—
Enumeration date
08/19/2005
Last updated
05/24/2012
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