Blair, Lisa Jill

Blair, Lisa Jill is an individual health care provider with primary practice located at 1711 W Wheeler Ave , Aransas Pass TX 78336-4536. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Blair, Lisa Jill can be contacted via phone (361) 226-3434.

Contact Information

Primary practice address
1711 W Wheeler Ave Aransas Pass TX 78336-4536
Phone: (361) 226-3434
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K6444 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23987 Alabama

Profile Details

NPI number 1477555878
LBN Legal business name Blair, Lisa Jill
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Oct 30th, 2014 - about 11 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 1477555878 NPPES
Alabama MEDICAID 009961480

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