Terry Bruce Blair OD

NPI 1063402063 - Optometrist - 152W00000X

NPI Details
NPI 1063402063
Gender Male
Enumeration Date 10/21/2005
Last Updated 07/30/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
3800 N MESA
STE C8
EL PASO TX, 79902, US
Phone (915) 533-1811
Fax (915) 533-3641
Business Location
3800 N MESA
STE C8
EL PASO TX, 79902, US
Phone (915) 533-1811
Fax (915) 533-3641
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 2777T6
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According to our database, Dr. Terry Bruce Blair OD NPI is 1063402063, taxonomy code is 152W00000X and license number is 2777T6, license state is located at Texas. Terry Bruce Blair OD physically located at 3800 N Mesa, El Paso TX, 79902. NPI Number Terry Bruce Blair OD has the Individual type.

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1063402063 NPI number is provided on an as is basis without warranty of any kind. 1063402063 is maintained by the National Plan & Provider Enumeration System. The contents of Terry Bruce Blair OD are for informational purposes only.