Lillian Blakley Jimerson MD

NPI 1023063831 - Pediatrics - 208000000X

NPI Details
NPI 1023063831
Gender Female
Enumeration Date 05/23/2006
Last Updated 04/09/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
2785 GULF FWY S
UTMB PEDIATRICS-BAY COLONY CLINIC
LEAGUE CITY TX, 77573-4979, US
Phone (409) 772-1444
Fax (832) 340-2350
Business Location
318 CREEKBEND
LEAGUE CITY TX, 77573, US
Phone (409) 772-1444
Fax (832) 340-2350
Toxanomy
Taxonomy Code 208000000X
License State Texas
License Number N8017
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According to our database, Dr. Lillian Blakley Jimerson MD NPI is 1023063831, taxonomy code is 208000000X and license number is N8017, license state is located at Texas. Lillian Blakley Jimerson MD physically located at 2785 Gulf Fwy S, League City TX, 77573-4979. NPI Number Lillian Blakley Jimerson MD has the Individual type.

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1023063831 NPI number is provided on an as is basis without warranty of any kind. 1023063831 is maintained by the National Plan & Provider Enumeration System. The contents of Lillian Blakley Jimerson MD are for informational purposes only.