BLAIR SHACKLETON PETERSON

DALLAS, TX
NPI1235523721
Former NameBLAIR LEAH SHACKLETON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA09776)
Enumeration Date2015-03-24
Last Update Date2019-02-20
Business Address
BLAIR SHACKLETON PETERSON PA-C
8440 WALNUT HILL LN STE 610
DALLAS, TX 75231-3815
Phone number: 214-345-6000
Mailing Address
BLAIR SHACKLETON PETERSON PA-C
8440 WALNUT HILL LN STE 610
DALLAS, TX 75231-3815
Phone number: 214-345-6000
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