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Individual

FARRIS BLOUNT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1315 ST JOSEPH PKWY, SUITE 1507, HOUSTON, TX 77002-8233
(713) 650-6556
(713) 659-7907
Mailing address
1315 ST JOSEPH PKWY, SUITE 1507, HOUSTON, TX 77002-8233
(713) 650-6556
(713) 659-7907

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G8008
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135142109
TX
01
8W2122
BCBS
TX
Enumeration date
07/16/2006
Last updated
06/07/2010
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