Wassom, Blake

Wassom, Blake is an individual health care provider with primary practice located at 5282 Medical Dr Ste 250 , San Antonio TX 78229-6039. He recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Wassom, Blake can be contacted via phone (972) 644-2100.

Contact Information

Primary practice address
5282 Medical Dr Ste 250 San Antonio TX 78229-6039
Phone: (972) 644-2100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 67146 Texas

Profile Details

NPI number 1669247490
LBN Legal business name Wassom, Blake
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2023
Last updated Nov 21st, 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.

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