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Deactivated NPI 1215185764 Deactivated / Inactive NPI Male Practitioner

Darrell Blaze

Specialist • Houston, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Darrell Blaze has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 08, 2008
NPI Deactivation Date January 10, 2020
Total Practice Duration ~12 Years of Practice (2008 – 2020)

Professional Overview & Biography Verified Profile Summary

Darrell Blaze was a registered Specialist practicing in Houston, TX. Throughout an active medical career spanning 12 years, Darrell Blaze provided care at the practice location at 8800 BISSONNET ST STE J until profile deactivation on 2020-01-10.

Practice Location & Contact Primary Location

Practice Address

8800 Bissonnet St Ste J

Houston, TX 770742435

Telephone 7139815555
Associated Practice Facility / Clinic
🏢 Unlimited Prosthetics Inc Facility NPI 1205101656

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.4 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
323 Specialists

Practicing in Houston, TX (2033 Statewide)

Telehealth Adoption Rate
2.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX 464

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1558611368

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 10, 2020

Record deactivated on January 10, 2020

NPI Profile Active February 07, 2011

NPI status registered as active in NPPES database

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Updated Practice Location February 07, 2011

Registered at 8800 BISSONNET ST STE J, HOUSTON, TX 770742435 (Tel: 7139815555)

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Updated Business Mailing Address February 07, 2011

Registered at 8800 BISSONNET ST STE J, HOUSTON, TX 770742435 (Tel: 7139815555)

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Provider Name / Credentials Updated February 07, 2011

Recorded as DARRELL BLAZE

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2011

Specialist (License #464 in TX)

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Initial NPI Registration & Enumeration September 08, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215185764
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2008
Last Update: February 07, 2011
Deactivation Date: January 10, 2020

Mailing Address

8800 Bissonnet St Ste J

Houston, TX 770742435

Phone: 7139815555

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.