Individual
AMY A BLAZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3502 9TH ST, STE 110, LUBBOCK, TX 79415-3300
(806) 744-1171
(806) 744-1169
Mailing address
5219 CITY BANK PKWY, STE 35, LUBBOCK, TX 79407-3544
(806) 785-7676
(806) 785-0872
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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