Individual
BROOKE NAOMI BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5488 S PADRE ISLAND DR STE 2042, CORPUS CHRISTI, TX 78411-4122
(361) 994-0310
(361) 994-0452
Mailing address
5488 S PADRE ISLAND DR STE 2042, CORPUS CHRISTI, TX 78411-4122
(361) 994-0310
(361) 994-0452
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
PENDING
TX
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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