NPI | 1952789729 |
---|---|
Doing Business As | RAYMOND C. BLACKBURN, M.D. |
Entity Type | Organization |
Authorized Contact | RAYMOND C BLACKBURN Owner/Medical Director 214-630-5256 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX F2557) |
Enumeration Date | 2015-05-13 |
Last Update Date | 2015-05-13 |