Individual
BLAISE PASAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4618 LA BAHIA WAY, SAN ANTONIO, TX 78253-5086
(210) 875-7561
(210) 443-0310
Mailing address
4618 LA BAHIA WAY, SAN ANTONIO, TX 78253-5086
(210) 875-7561
(210) 443-0310
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
828938
TX
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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