Organization
BRUSH COUNTRY FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA JILL BLAIR MD (PRESIDENTOWNER)
(830) 569-2118
Entity
Organization
Contact information
Practice address
111 N SMITH ST, PLEASANTON, TX 78064-4109
(830) 569-2118
Mailing address
111 N SMITH ST, PLEASANTON, TX 78064-4109
(830) 569-2118
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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