Individual
KARLA JOELLE BLIXT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1367 DOMINION PLZ, TYLER, TX 75703-1013
(903) 534-6200
Mailing address
1367 DOMINION PLZ, TYLER, TX 75703-1013
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04058
TX
Other
Enumeration date
07/02/2006
Last updated
08/16/2010
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