Organization
HARRISCARE MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHELLE BLACKBURN (ADMINISTRATOR)
(409) 284-9717
Entity
Organization
Contact information
Practice address
220 BLANCO STREET, LUMBERTON, TX 77657
(409) 284-9717
Mailing address
804 S 2ND ST, NEDERLAND, TX 77627-2307
(409) 284-9717
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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