Individual
EUGENIA M. BLOMSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNS,PMH
Contact information
Practice address
616 W RUSSELL PL, SAN ANTONIO, TX 78212-3658
(800) 257-8715
(800) 819-1655
Mailing address
7503 FOSTER CREEK DR, RICHMOND, TX 77469-9766
(800) 257-8715
(800) 819-1655
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
227021
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171808202
—
TX
05
—
171808203
—
TX
01
—
8N8508
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/08/2006
Last updated
06/12/2009
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