| 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 |