Individual
MR. RAYMOND C BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8200 BROOKRIVER DR, STE N705, DALLAS, TX 75247-4069
(214) 630-5256
(214) 630-2251
Mailing address
8200 BROOKRIVER DR, STE N705, DALLAS, TX 75247-4069
(214) 630-5256
(214) 630-2251
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
F2557
TX
Other
Enumeration date
04/20/2006
Last updated
05/01/2014
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