Organization
CARL J BLACKBURN OD LLC
Active
Other names
Family Eye Clinic of Houston, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL JOSEPH BLACKBURN O.D. (OWNER / SOLE MEMBER)
(281) 852-4440
Entity
Organization
Contact information
Practice address
5655 E SAM HOUSTON PKWY N, HOUSTON, TX 77015-3250
(713) 450-4484
(713) 450-4424
Mailing address
7619 DOLPHIN ARC DR, HUMBLE, TX 77346-8199
(281) 852-4440
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1771TG
TX
Other
Enumeration date
08/06/2012
Last updated
03/19/2013
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