PHILMORE BLAKE

LAKE JACKSON, TX
NPI1316972458
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208800000X Urology
(Licence: TX  K7246)
Enumeration Date2006-07-11
Last Update Date2015-03-26
Business Address
-- PHILMORE BLAKE
188 ABNER JACKSON PKWY
LAKE JACKSON, TX 77566-5160
Phone number: 979-297-9488
Mailing Address
-- PHILMORE BLAKE
188 ABNER JACKSON PKWY
LAKE JACKSON, TX 77566-5160
Phone number: 979-297-9488
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