IndividualActive
Aireal Blackburn
NPI 1972389104 · Prosthetic/Orthotic Supplier · Humble, TX
Provider details
- NPI number
- 1972389104
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
Practice location
8330 N Sam Houston Pkwy E Apt 9202
Humble, TX 77396-3399
Phone: (901) 232-2012
Approximate (ZIP-level) locationGet directions
Mailing address
8330 N Sam Houston Pkwy E Apt 9202
Humble, TX 77396-3399
Registry dates
- Enumerated
- 2023-09-05
- Last updated
- 2023-09-06
- Certified
- 2023-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.