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1023123148
MARK JOEL BLOTCKY
DALLAS, TX
NPI
1023123148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TX D8150)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
-- MARK JOEL BLOTCKY M.D.
8226 DOUGLAS AVE SUITE 805
DALLAS, TX 75225-5943
Phone number: 214-739-1808
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Mailing Address
-- MARK JOEL BLOTCKY M.D.
6323 RIVERVIEW LN
DALLAS, TX 75248-2841
Phone number: 972-380-0026
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