Organization
THOUSAND OAKS CLINIC WORK MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DENNIS BLACKBURN MD (OWNER)
(210) 490-1000
Entity
Organization
Contact information
Practice address
2235 THOUSAND OAKS DR, SUITE 115-117, SAN ANTONIO, TX 78232-3966
(210) 490-1000
(210) 490-3806
Mailing address
2235 THOUSAND OAKS DR, SUITE 115-117, SAN ANTONIO, TX 78232-3966
(210) 490-1000
(210) 490-3806
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MDC7546
TX
Other
Enumeration date
07/12/2005
Last updated
08/29/2008
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