Organization
PMC FOOT AND ANKLE CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC R BLANSON DPM (SURGEON)
(832) 585-1620
Entity
Organization
Contact information
Practice address
128 VISION PARK BLVD STE 135, SHENANDOAH, TX 77384-3017
(832) 585-1620
(855) 787-3211
Mailing address
128 VISION PARK BLVD STE 135, SHENANDOAH, TX 77384-3017
(832) 585-1620
(855) 787-3211
Taxonomy
Speciality
Code
Description
License number
State
213ER0200X
Radiology Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
05/08/2024
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