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Backed By Blackmon
Health Service Clinic/Center in Houston, Texas
NPI 1306580584

Backed By Blackmon is a Health Service Clinic/Center based in League City, TX and is specialized in Health Service. Backed By Blackmon practices in Houston, TX. The NPI Number for Backed By Blackmon is 1306580584 and holds a License No. (Texas).

The current practice location address for Backed By Blackmon is 17047 El Camino Real Ste 140, Houston, TX and can be reached out via phone at 713-321-0506.

Location: 17047 El Camino Real Ste 140, Houston, TX, 77573-4566
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306580584
Provider Name
Backed By Blackmon
Credential
Provider Entity Type
Organization
Address
17047 El Camino Real Ste 140, Houston, TX, 77573-4566
Phone Number
713-321-0506
Fax Number
Provider Enumeration Date
04/25/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
17047 El Camino Real Ste 140
City
Houston
State
Texas
Zip
77058-2615
Phone Number
713-321-0506
Fax Number
person
Provider Business Mailing Address Details
Address
17047 El Camino Real Ste 140
City
Houston
State
Texas
Zip
77058-2615
Phone Number
713-321-0506
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
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