Individual
MR. JEFFREY JAMES BLAAUW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATP
Contact information
Practice address
2019 SUMMERHILL RD, TEXARKANA, TX 75501
(903) 223-9001
(903) 794-8666
Mailing address
2019 SUMMERHILL RD, TEXARKANA, TX 75501-3580
(903) 223-9001
(903) 794-8666
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
ATP13882
TX
332BC3200X
Customized Equipment (DME)
—
TX
Other
Enumeration date
08/16/2011
Last updated
08/16/2018
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