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Organization
TRIA HEALTH PLLC
Active
Organization
TRIA HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BLACKMON MD (PROVIDER)
(972) 318-9731
Entity
Organization
Contact information
Practice address
2410 LUNA RD STE 248, CARROLLTON, TX 75006-6578
(972) 318-9731
Mailing address
2410 LUNA RD STE 248, CARROLLTON, TX 75006-6578
(972) 318-9731
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
11/06/2019
Last updated
08/02/2024
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