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Individual

BLAND CHAMBERLAIN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSA

Contact information

Practice address
4010 FULFORD CT, KATY, TX 77450-5239
(713) 301-9330
(281) 398-0451
Mailing address
4010 FULFORD CT, KATY, TX 77450-5239
(713) 301-9330
(281) 398-0451

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
SA00237
TX
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
03/27/2007
Last updated
11/16/2015
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