Individual
SADE BLANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
301 ELK DR, BURLESON, TX 76028-5957
(817) 835-8373
Mailing address
301 ELK DR, BURLESON, TX 76028-5957
(817) 835-8373
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2153202
TX
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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