Blake, Boaz

Blake, Boaz is an individual health care provider with primary practice located at 7502 Fondren Rd , Houston TX 77074-3204. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Blake, Boaz can be contacted via phone (281) 649-3328.

Contact Information

Primary practice address
7502 Fondren Rd Houston TX 77074-3204
Phone: (281) 649-3328
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1649576513
LBN Legal business name Blake, Boaz
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2011
Last updated Feb 9th, 2011 - about 14 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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