Blair, Stephen D
Blair, Stephen D is an sole proprietor health care provider with primary practice located at 505 W Louis Henna Blvd Ste 100 , Austin TX 78728-1702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blair, Stephen D can be contacted via phone (855) 481-8375.Contact Information
Primary practice address
505 W Louis Henna Blvd Ste 100
Austin TX 78728-1702
Phone: (855) 481-8375
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J8462 | Texas |
Profile Details
| NPI number | 1962404244 |
|---|---|
| LBN Legal business name | Blair, Stephen D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Aug 15th, 2023 - about 2 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 | 1962404244 | NPPES |
| Texas | MEDICAID | 092383101 |
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