Carl J Blackburn Od Llc

NPI 1124375498 - Optometrist - 152W00000X

NPI Details
NPI 1124375498
Enumeration Date 08/06/2012
Last Updated 03/19/2013
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name CARL JOSEPH CARL
Position OWNER / SOLE MEMBER
Phone (713) 450-4484
Fax (713) 450-4424
Practice Location
5655 E SAM HOUSTON PKWY N
HOUSTON TX, 77015-3250, US
Phone (713) 450-4484
Fax (713) 450-4424
Business Location
7619 DOLPHIN ARC DR
HUMBLE TX, 77346-8199, US
Phone (281) 852-4440
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 1771TG
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According to our database, Carl J Blackburn Od Llc NPI is 1124375498, taxonomy code is 152W00000X and license number is 1771TG, license state is located at Texas. Carl J Blackburn Od Llc physically located at 5655 E Sam Houston Pkwy N, Houston TX, 77015-3250. NPI Number 1033115704 has the healthcare provider type.

1124375498 NPI number is provided on an as is basis without warranty of any kind. 1124375498 is maintained by the National Plan & Provider Enumeration System. The contents of Carl J Blackburn Od Llc are for informational purposes only.