Tashya A Blacklock PA

NPI 1235470071 - Physician Assistant - 363A00000X

NPI Details
NPI 1235470071
Gender Female
Enumeration Date 03/04/2013
Last Updated 02/10/2015
Entity Type Individual
Active Over 3 years ago
Practice Location
5201 HARRY HINES BLVD
DALLAS TX, 75235-7708, US
Phone (214) 590-8000
Fax
Business Location
5201 HARRY HINES BLVD
DALLAS TX, 75235-7708, US
Phone (214) 590-8000
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Ms. Tashya A Blacklock PA NPI is 1235470071, taxonomy code is 363A00000X Tashya A Blacklock PA physically located at 5201 Harry Hines Blvd, Dallas TX, 75235-7708. NPI Number Tashya A Blacklock PA has the Individual type.

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1235470071 NPI number is provided on an as is basis without warranty of any kind. 1235470071 is maintained by the National Plan & Provider Enumeration System. The contents of Tashya A Blacklock PA are for informational purposes only.