Individual
LIESA BLOND HARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1603 SE 34TH AVE, PORTLAND, OR 97214-5078
(737) 226-3245
(800) 561-1896
Mailing address
1321 UPLAND DR # 5803, HOUSTON, TX 77043-4718
(737) 226-3245
(800) 561-1896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J5545
TX
Other
Enumeration date
04/01/2009
Last updated
06/18/2019
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