Organization
RAYMOND C. BLACKBURN, M.D.
Active
Other names
Raymond C. Blackburn, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND C BLACKBURN M.D. (OWNER/MEDICAL DIRECTOR)
(214) 630-5256
Entity
Organization
Contact information
Practice address
8200 BROOKRIVER DR, SUITE N705, DALLAS, TX 75247-4069
(214) 630-5256
Mailing address
8200 BROOKRIVER DR, SUITE N705, DALLAS, TX 75247-4069
(214) 630-5256
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
F2557
TX
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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