Mr. Gerald G. Blackburn
Prosthetist
2002 Holcombe Blvd M.s. 580/121
Houston
, Texas 77030-4211
Mr. Gerald G. Blackburn
Prosthetist
2002 Holcombe Blvd M.s. 580/121
Houston
, Texas 77030-4211
(713) 995-8499
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Mr. Gerald G. Blackburn
- 9302 Twin Hills Dr
- Houston, TX
- Zip : 77031-1012
- Phone : (713) 995-8499
Second Address
- Mr. Gerald G. Blackburn
- 2002 Holcombe Blvd M.s. 580/121
- Houston, TX
- Zip : 77030-4211
- Phone : (713) 791-1414
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | 227 | TX |
National Provider Identifier
| NPI | 1487769824 |
|---|---|
| Provider Name | Mr. Gerald G. Blackburn |
| First Address | Houston, TX 77031-1012 |
| Second Address | Houston, TX 77030-4211 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 224P00000X | PROSTHETIST (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.