Organization
BLAZING INDIGO LLC
Active
Other names
VALLEY MEDICAL FOOT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATASHA E BELTRE (CEO)
(956) 782-6200
Entity
Organization
Contact information
Practice address
409 W FM 495, SAN JUAN, TX 78589-3717
(956) 782-6200
(956) 782-6202
Mailing address
409 W FM 495, SAN JUAN, TX 78589-3717
(956) 782-6200
(956) 782-6202
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1412
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
1521
TX
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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