BLAIR BLACKMAN

DALLAS, TX
NPI1578992400
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX  778669)
Enumeration Date2013-11-01
Last Update Date2013-11-01
Business Address
-- BLAIR BLACKMAN RN, CPNP
3500 GASTON AVE
DALLAS, TX 75246-2017
Phone number: 214-820-0111
Mailing Address
-- BLAIR BLACKMAN RN, CPNP
4105 VALLEY VIEW RD UNIT A
AUSTIN, TX 78704-7994
Phone number:
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