Individual
BLAKE BARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
902 E MAIN ST, SAN AUGUSTINE, TX 75972-2316
(966) 275-2055
Mailing address
8272 FM 139, JOAQUIN, TX 75954-5652
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
110023
TX
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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