Fred Mason Blosser in Lubbock - General Practice
Fred Mason Blosser - NPI 1467411884
Fred Mason Blosser is a General Practice in Lubbock, Texas. Fred Mason Blosser practices all healthcare services and medical treatments related to General Practice. The NPI Number for Fred Mason Blosser is 1467411884. The last update date is 2007-07-08.
Fred Mason Blosser's current location address is 6104 Avenue Q South Dr, Lubbock, Texas. You can contact this provider via phone number 8064723470. The mailing address for Fred Mason Blosser is 6104 Avenue Q South Dr, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred Mason Blosser |
|---|---|
| Address | 6104 Avenue Q South Dr, Lubbock, Texas |
| Phone Number | 8064723470 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1467411884 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6104 Avenue Q South Dr |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794123700 |
| Phone Number | 8064723470 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 11742 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Fred Mason Blosser by the Centers for Medicare & Medicaid Services?
The Fred Mason Blosser has been issued the NPI (National Provider Identifier) 1467411884, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Fred Mason Blosser is geographically located?
The Fred Mason Blosser is physically situated at the following location: 6104 Avenue Q South Dr, Lubbock, TX, 794123700.
What is Fred Mason Blosser's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Fred Mason Blosser is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1467411884 to Fred Mason Blosser?
The Centers for Medicare & Medicaid Services assigned the 1467411884 to Fred Mason Blosser on 2006-03-23.
When was the information regarding Fred Mason Blosser most recently updated?
The details pertaining to the Fred Mason Blosser, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.