Organization
FOOTPRINTS PODIATRIC MEDICINE & SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MICHAEL BLUHM DPM (OWNER)
(210) 949-1500
Entity
Organization
Contact information
Practice address
5282 MEDICAL DR STE 107, SAN ANTONIO, TX 78229-6023
(210) 949-1500
(210) 949-1490
Mailing address
5282 MEDICAL DR STE 107, SAN ANTONIO, TX 78229-6023
(210) 949-1500
(210) 949-1490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1676
TX
335E00000X
Prosthetic/Orthotic Supplier
1676
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098LJ
BCBS OF TEXAS PROVIDER ID
TX
05
—
1712002 01
—
TX
05
—
1796609 01
—
TX
05
—
1796609 02
—
TX
01
—
9360728
PHCS PROVIDER ID #
TX
Enumeration date
11/29/2006
Last updated
05/21/2008
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