Organization
M D PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRELL BLAZE LP (PRESIDENT)
(832) 217-7348
Entity
Organization
Contact information
Practice address
2000 CRAWFORD ST STE 1122, HOUSTON, TX 77002-9065
(832) 217-7348
Mailing address
2000 CRAWFORD ST STE 1122, HOUSTON, TX 77002-9065
(832) 217-7348
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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