George Maury Blackburn in Austin - Dentist
George Maury Blackburn - NPI 1003870601
George Maury Blackburn is a Dentist in Austin, Texas. George Maury Blackburn practices all healthcare services and medical treatments related to Dentist. The NPI Number for George Maury Blackburn is 1003870601. The last update date is 2007-07-08.
George Maury Blackburn's current location address is 12505 Hymeadow Dr, Austin, Texas. You can contact this provider via phone number 5122583627 and fax number 5122580755. The mailing address for George Maury Blackburn is 12505 Hymeadow Dr, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George Maury Blackburn |
|---|---|
| Address | 12505 Hymeadow Dr, Austin, Texas |
| Phone Number | 5122583627 |
| Fax Number | 5122580755 |
| Sole Proprietor | Y |
| Credentials | D.M.D., F. |
NPI Number Detail
| NPI Number | 1003870601 |
|---|---|
| Provider Enumeration Date | 2006-04-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12505 Hymeadow Dr |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787501867 |
| Phone Number | 5122583627 |
| Fax Number | 5122580755 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 10496 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to George Maury Blackburn by the Centers for Medicare & Medicaid Services?
The George Maury Blackburn has been assigned the NPI (National Provider Identifier) 1003870601. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the George Maury Blackburn's physical address?
The George Maury Blackburn is physically located at 12505 Hymeadow Dr, in the city of Austin, TX, with the postal code 787501867.
What is the area of specialization for George Maury Blackburn, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for George Maury Blackburn is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the George Maury Blackburn receive the assignment of its 1003870601 from the Centers for Medicare & Medicaid Services?
The George Maury Blackburn was issued its 1003870601 by the Centers for Medicare & Medicaid Services on 2006-04-12.
As of what date was the information regarding George Maury Blackburn, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to George Maury Blackburn, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.