BLAINE PHILLIP CARMICHAEL

SAN ANTONIO, TX
NPI1386633121
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA00009)
Enumeration Date2005-10-14
Last Update Date2012-05-25
Business Address
-- BLAINE PHILLIP CARMICHAEL PA-C
408 NAVARRO ST
SAN ANTONIO, TX 78205-2502
Phone number: 210-272-1741
Mailing Address
-- BLAINE PHILLIP CARMICHAEL PA-C
1045 CENTRAL PARKWAY NORTH SUITE 200
SAN ANTONIO, TX 78232-5024
Phone number: 210-541-4500
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