Individual
BLAINE HUMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25511 BUDDE RD STE 3501, THE WOODLANDS, TX 77380-4006
(346) 200-7180
Mailing address
20227 STONE FALLS CT, CYPRESS, TX 77433-5762
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
82367
TX
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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