Individual
CHRISTI LYNN BLAKKOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6410 FANNIN ST, SUITE 1400, HOUSTON, TX 77030-3000
(713) 500-7181
Mailing address
6410 FANNIN ST, SUITE 1400, HOUSTON, TX 77030-3000
(713) 500-7181
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
P2596
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
P2596
TX
Other
Enumeration date
05/17/2010
Last updated
02/14/2025
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