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Individual

DR. TAMINA ELAINE BLAIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2201 N RIVER HILLS RD, AUSTIN, TX 78733-2127
(512) 698-2096
(512) 402-0869
Mailing address
2201 N RIVER HILLS RD, AUSTIN, TX 78733-2127
(512) 698-2096
(512) 402-0869

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J6341
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G0103214
DPS
TX
01
J6341
MEDICAL LICENSE
TX
05
P00050CB5
TX
Enumeration date
05/18/2006
Last updated
03/07/2023
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