George M. Blackburn Jr. D.m.d.

NPI 1083995500 - Dentist - 122300000X

NPI Details
NPI 1083995500
Enumeration Date 08/30/2011
Last Updated 08/30/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name GEORGE M. GEORGE
Position OWNER
Phone (512) 258-3627
Fax
Practice Location
12505 HYMEADOW DR
STE. 2 D
AUSTIN TX, 78750-1867, US
Phone (512) 258-3627
Fax
Business Location
12505 HYMEADOW DR
STE. 2 D
AUSTIN TX, 78750-1867, US
Phone (512) 258-3627
Fax
Toxanomy
Taxonomy Code 122300000X
License State Texas
License Number 10496
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According to our database, George M. Blackburn Jr. D.m.d. NPI is 1083995500, taxonomy code is 122300000X and license number is 10496, license state is located at Texas. George M. Blackburn Jr. D.m.d. physically located at 12505 Hymeadow Dr, Austin TX, 78750-1867. NPI Number 1033115704 has the healthcare provider type.

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1083995500 NPI number is provided on an as is basis without warranty of any kind. 1083995500 is maintained by the National Plan & Provider Enumeration System. The contents of George M. Blackburn Jr. D.m.d. are for informational purposes only.