ALICE T BLACKMON

SAN ANTONIO, TX
NPI1265413264
Other NameALICIA T BLACKMON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX  AP108315)
Enumeration Date2005-11-08
Last Update Date2024-09-12
Business Address
ALICE T BLACKMON PNP-C
7323 MARBACH RD STE 104
SAN ANTONIO, TX 78227-1905
Phone number: 210-674-0257
Mailing Address
ALICE T BLACKMON PNP-C
7323 MARBACH RD STE 104
SAN ANTONIO, TX 78227-1905
Phone number: 210-645-4305