Blair, Charles Ebenezer

Blair, Charles Ebenezer is an sole proprietor health care provider with primary practice located at 1120 Nasa Pkwy 220W , Houston TX 77058-3362. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Blair, Charles Ebenezer can be contacted via phone (903) 312-7268.

Contact Information

Primary practice address
1120 Nasa Pkwy 220W Houston TX 77058-3362
Phone: (903) 312-7268
Fax: (281) 331-4197
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 539564 Texas

Profile Details

NPI number 1144433954
LBN Legal business name Blair, Charles Ebenezer
Credentials PHD, RN, CS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated Dec 30th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144433954 NPPES
Texas MEDICAID 0443392
Texas Other NP7054

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