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1487629952
ROGER S BLAIR
FORT WORTH, TX
NPI
1487629952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: TX E0404)
Enumeration Date
2006-02-20
Last Update Date
2011-03-24
Business Address
Dr. ROGER S BLAIR M.D.
1325 PENNSYLVANIA AVE SUITE 700
FORT WORTH, TX 76104-2158
Phone number: 817-332-2876
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Mailing Address
Dr. ROGER S BLAIR M.D.
PO BOX 961013
FORT WORTH, TX 76161-0013
Phone number: 817-332-2876
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