Individual
METTE JANE ADAMS BLOCKHAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
5601 BRIDGE ST, SUITE 500, FORT WORTH, TX 76112-2384
(817) 457-9850
(817) 457-9865
Mailing address
6256 GLENVIEW DR, NORTH RICHLAND HILLS, TX 76180-9255
(817) 428-4475
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
105121
TX
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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