Provider Demographics
NPI:1477535367
Name:BLUMFIELD, DAVID LEE (DPM)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LEE
Last Name:BLUMFIELD
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:6699 CHIMNEY ROCK RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-5358
Mailing Address - Country:US
Mailing Address - Phone:713-668-7583
Mailing Address - Fax:713-668-5140
Practice Address - Street 1:915 GESSNER RD
Practice Address - Street 2:SUITE 380
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2527
Practice Address - Country:US
Practice Address - Phone:713-467-1299
Practice Address - Fax:713-467-1298
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2014-05-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX0880213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX121577405Medicaid
TX8474N0Medicare ID - Type Unspecified
TX121577405Medicaid