Individual
MISS MELISSA KAY BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
606 ROLLINGBROOK DR STE 1K, BAYTOWN, TX 77521-4058
(903) 574-5060
(832) 553-7940
Mailing address
606 ROLLINGBROOK DR STE 1K, BAYTOWN, TX 77521-4058
(903) 574-5060
(832) 553-7940
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
18403
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18403
STATE LICENCE
TX
Enumeration date
11/30/2009
Last updated
10/24/2024
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