Charles Ebenezer Blair in Houston - Psychiatric/mental Health, Adult

Charles Ebenezer Blair - NPI 1144433954

Charles Ebenezer Blair is a Psychiatric/mental Health, Adult in Houston, Texas. Charles Ebenezer Blair practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Charles Ebenezer Blair is 1144433954. The last update date is 2015-12-30.

Charles Ebenezer Blair's current location address is 1120 Nasa Pkwy 220w, Houston, Texas. You can contact this provider via phone number 9033127268 and fax number 2813314197. The mailing address for Charles Ebenezer Blair is 1120 Nasa Pkwy 220w, Houston, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Ebenezer Blair
Address 1120 Nasa Pkwy 220w, Houston, Texas
Phone Number 9033127268
Fax Number 2813314197
Sole Proprietor Y
Credentials PHD, RN, C

NPI Number Detail

NPI Number 1144433954
Provider Enumeration Date 2007-05-08
Last Updated Date 2015-12-30

Provider Mailing Address Detail

Address 1120 Nasa Pkwy 220w
City Houston
State Texas (TX)
Post Code 770583362
Phone Number 9033127268
Fax Number 2813314197

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health, Adult
Taxonomy 364Sp0809X
Licence No 539564
Definition:
A psychiatric clinical nurse specialist expert in caring for adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
443392 TX --
NP7054 TX BLUECROSS & BLUESHIELD PR

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FAQs about Charles Ebenezer Blair

What is the Charles Ebenezer Blair's 1144433954?

The Charles Ebenezer Blair's NPI (National Provider Identifier) Number is 1144433954. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Charles Ebenezer Blair's facilities are geographically located?

The facilities of Charles Ebenezer Blair are physically situated at the following location: 1120 Nasa Pkwy 220W, Houston, TX, 770583362.

What is Charles Ebenezer Blair'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 Charles Ebenezer Blair is Psychiatric/mental Health, Adult, and the taxonomy classification code that categorizes this area of expertise is 364Sp0809X.

When did Charles Ebenezer Blair receive its 1144433954 assignment?

The Charles Ebenezer Blair was assigned its 1144433954 on 2007-05-08, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Charles Ebenezer Blair, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Charles Ebenezer Blair, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-12-30.

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