Individual
MRS. CICILY DIANNE CROSS-BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
305 COTTAGE RD, CARTHAGE, TX 75633-1511
(903) 694-4948
Mailing address
305 COTTAGE RD, CARTHAGE, TX 75633-1511
(903) 694-4948
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
699855
TX
Other
Enumeration date
12/19/2011
Last updated
06/11/2015
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