Individual
ANNA KOURY BLASZCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
517 S LAMAR BLVD, AUSTIN, TX 78704-1548
(512) 861-8055
Mailing address
517 S LAMAR BLVD, AUSTIN, TX 78704-1548
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1072664
TX
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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