Alice T Blackmon is a Pediatric Nurse Practitioner based in San Antonio, TX and is specialized in Pediatrics. Alice T Blackmon practices in San Antonio, TX and has the professional credentials of PNP-C. The NPI Number for Alice T Blackmon is 1265413264 and holds a License No. AP108315 (Texas).
The current practice location address for Alice T Blackmon is 7323 Marbach Rd Ste 104, San Antonio, TX and can be reached out via phone at 210-674-0257 and via fax at 210-369-9064.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508813494 | 01 | TX | AFFILIATED GROUP NPI# |
| AP108315 | 01 | TX | LICENSE |
| 363LP0200X | 01 | TX | TAXONOMY / NP-C PEDIATRICS |
| 1265413264 | 01 | TX | NPI# |
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