Organization
BLAIR FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND WESLEY BLAIR JR. MD (OWNER)
(972) 878-3030
Entity
Organization
Contact information
Practice address
2203 W LAMPASAS ST STE 101, ENNIS, TX 75119-5644
(972) 878-3030
(972) 878-3031
Mailing address
2203 W LAMPASAS ST, SUITE 101, ENNIS, TX 75119-5471
(972) 878-3030
(972) 878-3031
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
M6051
TX
Other
Enumeration date
07/11/2007
Last updated
06/17/2008
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