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Organization

EPLRMC, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONALD GLEN BLASCHKE II MD (MEMBER)
(615) 979-9453
Entity
Organization

Contact information

Practice address
100 MEDICAL PARKWAY, LAKEWAY, TX 78738-1782
(817) 451-4208
(817) 563-3699
Mailing address
5400 MARYLAND WAY STE 100, BRENTWOOD, TN 37027-5048
(615) 979-9453

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
02/28/2012
Last updated
10/13/2021
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