Organization
SHELDON EXTRACARE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATINA BLAIR PA-C (PHYSICIAN ASSISTANT)
(281) 458-4707
Entity
Organization
Contact information
Practice address
8514 C E KING PKWY, SUITE T, HOUSTON, TX 77044-2344
(281) 458-4707
(281) 458-4700
Mailing address
8514 C E KING PKWY, SUITE T, HOUSTON, TX 77044-2344
(281) 458-4707
(281) 458-4700
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
K4259
TX
261Q00000X
Clinic/Center
Primary
PA03060
TX
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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