Individual
JACLYN BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
367 GREENS RD, HOUSTON, TX 77060-1903
(281) 875-1800
Mailing address
367 GREENS RD, HOUSTON, TX 77380-3581
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07870
TX
Other
Enumeration date
08/29/2012
Last updated
02/01/2013
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