Organization
BLAHA FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD BLAHA N.P., D.C. (OWNER)
(214) 219-3260
Entity
Organization
Contact information
Practice address
3626 N HALL ST, STE 600, DALLAS, TX 75219-5105
(214) 219-3260
(214) 219-3329
Mailing address
3626 N HALL ST, STE 600, DALLAS, TX 75219-5105
(214) 219-3260
(214) 219-3329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
645587
TX
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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