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Contact Information

WILLIAM F BLANK III, DPM
18960 N MEMORIAL DR
HUMBLE, TX77338-4216
 Phone: 281-540-6322
 Fax: 713-426-2034
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for WILLIAM F BLANK III · (Male)

NPI # 1235121864
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/19/2005
Last updated 05/24/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 1416
  • TX Medicaid 112184002
  • TX Medicaid 112184003
  • Other P00381651 RAILROAD MEDICARE
Hospital affiliation(s)
  • MEMORIAL HERMANN NORTHEAST - (Acute Care)
    18951 MEMORIAL NORTH
    HUMBLE, TX 77338
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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