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Individual

DR. ALLISON M. BLAZEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1740 W 27TH ST, SUITE 215, HOUSTON, TX 77008-1440
(713) 880-2311
(713) 880-1620
Mailing address
1740 W 27TH ST, SUITE 215, HOUSTON, TX 77008-1440
(713) 880-2311
(713) 880-1620

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L1273
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145057902
TX
Enumeration date
09/22/2006
Last updated
02/01/2013
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