Individual
DR. BLAKE RUSSELL EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D,C.
Contact information
Practice address
1730 NASA PKWY, STE # 110, HOUSTON, TX 77058-3539
(713) 392-8527
Mailing address
PO BOX 58312, WEBSTER, TX 77598-8312
(713) 392-8527
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
9228
TX
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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