Organization
BLACKBURN PROCUREMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASEM AHMED ABDELFATTAH (ADMIN)
(214) 390-7697
Entity
Organization
Contact information
Practice address
7150 GREENVILLE AVE STE 101, DALLAS, TX 75231-5165
(214) 390-7697
(888) 770-6360
Mailing address
PO BOX 250783, PLANO, TX 75025-0783
(214) 390-7697
(888) 770-6360
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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