Individual
DR. KYMBER MICHELLE BLASCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4800 S HULEN ST STE 2720, FORT WORTH, TX 76132-1465
(817) 346-2186
(817) 370-7902
Mailing address
PO BOX 1054, YORKTOWN, TX 78164-1054
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9270T
TX
Other
Enumeration date
07/18/2017
Last updated
03/17/2018
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