Organization
COMMUNITYMED PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY BLOMQUIST MD (MANAGING MEMBER)
(469) 360-3498
Entity
Organization
Contact information
Practice address
3591 MCKINNEY ST, SUITE 200, MELISSA, TX 75454-9571
(972) 464-1611
(972) 464-1611
Mailing address
16775 ADDISON RD STE 200, ADDISON, TX 75001-5654
(972) 464-1611
(972) 464-1611
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
04/15/2014
Last updated
06/03/2021
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