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Individual
DR. TERRY BRUCE BLAIR
Active
Individual
DR. TERRY BRUCE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2777T6
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112454704
—
TX
01
—
117935
EYEMED VISION
—
01
—
143566
COLE VISION
—
01
—
80783Q
BLUE CROSS BLUE SHIELD
TX
01
—
908516
BLOCK VISION
—
05
—
P0902
—
NM
Enumeration date
10/21/2005
Last updated
10/20/2016
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