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Organization

NEUROSPINE SURGICAL CONSULTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER BLIZZARD PA-C (PHYSICIAN ASSISTANT)
(972) 378-6908
Entity
Organization

Contact information

Practice address
6160 WINDHAVEN PKWY, SUITE 200, PLANO, TX 75093-8099
(972) 378-6908
Mailing address
6160 WINDHAVEN PKWY, SUITE 200, PLANO, TX 75093-8099
(972) 378-6908

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10040
TX

Other

Enumeration date
02/03/2016
Last updated
02/03/2016
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