MIRIAM GRACE BLASINGAME

WACO, TX
NPI1912548249
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TX  AP143373)
Enumeration Date2019-10-08
Last Update Date2020-08-20
Business Address
MRS. MIRIAM GRACE BLASINGAME NP-C
150 HILLCREST MEDICAL BLVD
WACO, TX 76712-8897
Phone number: 254-202-4000
Mailing Address
MRS. MIRIAM GRACE BLASINGAME NP-C
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-727-2111