Organization
BLACKBURN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASEM ABDELFATTAH MD (MANAGER)
(915) 241-0997
Entity
Organization
Contact information
Practice address
7150 GREENVILLE AVE STE 101, DALLAS, TX 75231-5165
(214) 613-0337
Mailing address
7150 GREENVILLE AVE STE 101, DALLAS, TX 75231-5165
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
03/06/2019
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