Organization
DENIEL FOOT AND ANKLE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EJODAMEN BLESSING SHOBOWALE DPM (PRESIDENT-OWNER)
(773) 510-0124
Entity
Organization
Contact information
Practice address
15003 FM 529 RD STE A, HOUSTON, TX 77095-4379
(832) 415-1790
(281) 619-7998
Mailing address
15003 FM 529 RD STE B, HOUSTON, TX 77095-4379
(832) 415-1790
(281) 619-7998
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2288
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Q13K
BCBS TX
TX
Enumeration date
02/28/2018
Last updated
08/05/2022
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