Organization
BACKED BY BLACKMON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDI BLACKMON DC (OWNER)
(713) 855-2929
Entity
Organization
Contact information
Practice address
17047 EL CAMINO REAL STE 140, HOUSTON, TX 77058-2615
(713) 321-0506
Mailing address
2578 MADISON AVE, LEAGUE CITY, TX 77573-4566
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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