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Steven Lance Blackstone
Specialist in Live Oak, Texas
NPI 1730415613

Steven Lance Blackstone is a Specialist based in Converse, TX. Steven Lance Blackstone practices in Live Oak, TX. The NPI Number for Steven Lance Blackstone is 1730415613 and holds a License No. 3734 (Texas).

The current practice location address for Steven Lance Blackstone is 12402 Toepperwein Rd, Live Oak, TX and can be reached out via phone at 512-351-0021.

Location: 12402 Toepperwein Rd, Live Oak, TX, 78109-1828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730415613
Provider Name
Steven Lance Blackstone
Credential
Provider Entity Type
Individual
Gender
Male
Address
12402 Toepperwein Rd, Live Oak, TX, 78109-1828
Phone Number
512-351-0021
Fax Number
Provider Enumeration Date
10/27/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12402 Toepperwein Rd
City
Live Oak
State
Texas
Zip
78233-3230
Phone Number
512-351-0021
Fax Number
person
Provider Business Mailing Address Details
Address
12402 Toepperwein Rd
City
Live Oak
State
Texas
Zip
78233-3230
Phone Number
512-351-0021
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
3734 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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