George Maury Blackburn D.M.D., F.A.G.D.

NPI 1003870601 - Dentist - 122300000X

NPI Details
NPI 1003870601
Gender Male
Enumeration Date 04/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
12505 HYMEADOW DR
SUITE 2D
AUSTIN TX, 78750-1867, US
Phone (512) 258-3627
Fax (512) 258-0755
Business Location
12505 HYMEADOW DR
SUITE 2D
AUSTIN TX, 78750-1867, US
Phone (512) 258-3627
Fax (512) 258-0755
Toxanomy
Taxonomy Code 122300000X
License State Texas
License Number 10496
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According to our database, Dr. George Maury Blackburn D.M.D., F.A.G.D. NPI is 1003870601, taxonomy code is 122300000X and license number is 10496, license state is located at Texas. George Maury Blackburn D.M.D., F.A.G.D. physically located at 12505 Hymeadow Dr, Austin TX, 78750-1867. NPI Number George Maury Blackburn D.M.D., F.A.G.D. has the Individual type.

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1003870601 NPI number is provided on an as is basis without warranty of any kind. 1003870601 is maintained by the National Plan & Provider Enumeration System. The contents of George Maury Blackburn D.M.D., F.A.G.D. are for informational purposes only.