Individual
MR. DESMOND EUGENE BLAKE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3201 FONDREN RD, HOUSTON, TX 77063
(832) 594-5758
Mailing address
3201 FONDREN RD, HOUSTON, TX 77063
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
08/07/2017
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