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NPI 1306360177

IndividualActive

Desmond Blake

NPI 1306360177 · Prosthetics Case Management · Houston, TX

Provider details

NPI number: 1306360177
Entity type: Individual
Primary specialty: Prosthetics Case ManagementOther Service Providers
Sex: Male
Sole proprietor: Yes

Practice location

3201 Fondren Rd

Houston, TX 77063

Phone: (832) 594-5758

More TX providers

Mailing address

3201 Fondren Rd

Houston, TX 77063

Registry dates

Enumerated: 2017-08-02
Last updated: 2017-08-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Desmond Blake — NPI 1306360177, Houston, TX | NPI Central