Blackshire, Deborah Ann

Blackshire, Deborah Ann is an individual health care provider with primary practice located at 6620 Main St , Houston TX 77030-2348. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Blackshire, Deborah Ann can be contacted via phone (713) 798-5700.

Contact Information

Primary practice address
6620 Main St Houston TX 77030-2348
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA03682 Texas

Profile Details

NPI number 1982628582
LBN Legal business name Blackshire, Deborah Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 3rd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982628582 NPPES
Texas MEDICAID 182269401

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