LACONIA BLALOCK BACON

LIVINGSTON, TX
NPI1144628157
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP126832)
Enumeration Date2014-12-08
Last Update Date2014-12-08
Business Address
-- LACONIA BLALOCK BACON FNP-C
1930 U S HIGHWAY 190 W
LIVINGSTON, TX 77351-9600
Phone number: 936-327-9944
Mailing Address
-- LACONIA BLALOCK BACON FNP-C
1930 U S HIGHWAY 190 W
LIVINGSTON, TX 77351-9600
Phone number: 936-327-9944