Blank, William Frederick

Blank, William Frederick is an individual health care provider with primary practice located at 18960 N Memorial Dr , Humble TX 77338-4216. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Blank, William Frederick can be contacted via phone (281) 540-6322.

Contact Information

Primary practice address
18960 N Memorial Dr Humble TX 77338-4216
Phone: (281) 540-6322
Fax: (713) 426-2034
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1416 Texas

Profile Details

NPI number 1235121864
LBN Legal business name Blank, William Frederick
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated May 24th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235121864 NPPES
Texas MEDICAID 112184002
Texas Other P00381651
Texas MEDICAID 112184003

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