Individual
KASINA JANE BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6431 FANNIN ST STE MSB 2116, HOUSTON, TX 77030
(713) 500-7640
(713) 500-7647
Mailing address
6431 FANNIN ST STE MSB 2116, HOUSTON, TX 77030-1501
(713) 500-7640
(713) 500-7647
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R5972
TX
208D00000X
General Practice Physician
01062641A
IN
Other
Enumeration date
12/16/2006
Last updated
05/21/2018
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