Organization · Type 2 NPI
Blazing Indigo LLC
Foot & Ankle Surgery Podiatrist · San Juan, TX
NPI number
1306161567
Active
Practice location
409 W FM 495
San Juan, TX 78589-3717
Fax (956) 782-6202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 1412 (TX) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1521 (TX) |
Foot & Ankle Surgery Podiatrist: Definition to come...
4 other providers at this address
- Cantu Family Medical Clinic Professional Limited Liability CompanyFamily Nurse Practitioner San Juan, TX NPI 1245625201
- Franklin Beltre PCPodiatrist San Juan, TX NPI 1891724084
- Mermaid Walking IncLong Term Care Pharmacy San Juan, TX NPI 1629873583
- Franklin Beltre, DPMPodiatrist San Juan, TX NPI 1639126121
Other foot & ankle surgery podiatrist providers in San Juan
About NPI 1306161567
Blazing Indigo LLC's National Provider Identifier is 1306161567, issued on Mar 31, 2010. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in San Juan, TX. The record was last updated on Mar 31, 2010.