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1306580584
BACKED BY BLACKMON
HOUSTON, TX
NPI
1306580584
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Entity Type
Organization
Authorized Contact
RANDI BLACKMON
Owner
713-855-2929
Organization Subpart ?
No
Primary Taxonomy
261QH0100X Clinic/Center Health Service
Enumeration Date
2022-04-25
Last Update Date
2022-04-25
Business Address
BACKED BY BLACKMON
17047 EL CAMINO REAL STE 140
HOUSTON, TX 77058-2615
Phone number: 713-321-0506
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Mailing Address
BACKED BY BLACKMON
2578 MADISON AVE
LEAGUE CITY, TX 77573-4566
Phone number:
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