Herron, Blake M
Herron, Blake M is an sole proprietor health care provider with primary practice located at 300 Pecore St Apt 21 , Houston TX 77009-6247. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietetic Technician, Registered, which is considered as his primary health care specialty. Herron, Blake M can be contacted via phone (832) 257-5524.Contact Information
Primary practice address
300 Pecore St Apt 21
Houston TX 77009-6247
Phone: (832) 257-5524
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietetic Technician, Registered | 136A00000X | 86169937 | Texas |
Profile Details
| NPI number | 1679105514 |
|---|---|
| LBN Legal business name | Herron, Blake M |
| Credentials | DTR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2020 |
| Last updated | Feb 9th, 2020 - about 4 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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