Blair, Charles Ebenezer
Blair, Charles Ebenezer is an sole proprietor health care provider with primary practice located at 1120 Nasa Pkwy 220W , Houston TX 77058-3362. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Blair, Charles Ebenezer can be contacted via phone (903) 312-7268.Contact Information
Primary practice address
1120 Nasa Pkwy 220W
Houston TX 77058-3362
Phone: (903) 312-7268
Fax: (281) 331-4197
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | 539564 | Texas |
Profile Details
NPI number | 1144433954 |
---|---|
LBN Legal business name | Blair, Charles Ebenezer |
Credentials | PHD, RN, CS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 8th, 2007 |
Last updated | Dec 30th, 2015 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144433954 | NPPES |
Texas | MEDICAID | 0443392 | |
Texas | Other | NP7054 |
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