Shawna C Blackmon is a Surgical in Tyler, Texas. Shawna C Blackmon practices all healthcare services and medical treatments related to Surgical. The NPI Number for Shawna C Blackmon is 1487641536. The last update date is 2022-02-24.
Shawna C Blackmon's current location address is 3414 Golden Rd, Tyler, Texas. You can contact this provider via phone number 9039397500 and fax number 9039397728. The mailing address for Shawna C Blackmon is 3414 Golden Rd, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shawna C Blackmon |
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Address | 3414 Golden Rd, Tyler, Texas |
Phone Number | 9039397500 |
Fax Number | 9039397728 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1487641536 |
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Provider Enumeration Date | 2005-10-04 |
Last Updated Date | 2022-02-24 |
Provider Mailing Address Detail
Address | 3414 Golden Rd |
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City | Tyler |
State | Texas (TX) |
Post Code | 757018336 |
Phone Number | 9039397500 |
Fax Number | 9039397728 |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | PA04131 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
P00743048 | TX | RAILROAD MEDICARE | |
8360ND | TX | BLUE CROSS BLUE SHIELD | |
206265503 | TX | -- | |
206265502 | TX | -- | |
206265504 | TX | -- | |
206265501 | TX | -- | |
8Y8693 | TX | BCBS |
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What is the Shawna C Blackmon's unique identification number?
The Shawna C Blackmon has been assigned the NPI (National Provider Identifier) Number 1487641536 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is the unique 10-digit identification code assigned to Shawna C Blackmon by the Centers for Medicare & Medicaid Services?
The Shawna C Blackmon has been issued the NPI (National Provider Identifier) 1487641536, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Shawna C Blackmon's physical address?
The Shawna C Blackmon is physically located at 3414 Golden Rd, in the city of Tyler, TX, with the postal code 757018336.
On what date did the Shawna C Blackmon receive its 1487641536 assignment from the Centers for Medicare & Medicaid Services?
The Shawna C Blackmon was assigned its 1487641536 by the Centers for Medicare & Medicaid Services on 2005-10-04.
As of what date were the details related to Shawna C Blackmon most recently updated or revised?
The information pertaining to Shawna C Blackmon, including its address, specialty, and other relevant details, was last updated or revised on 2022-02-24.