Blair, Roger S

Blair, Roger S is an individual health care provider with primary practice located at 1325 Pennsylvania Ave Suite 700, Fort Worth TX 76104-2158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Blair, Roger S can be contacted via phone (817) 332-2876.

Contact Information

Primary practice address
1325 Pennsylvania Ave Suite 700 Fort Worth TX 76104-2158
Phone: (817) 332-2876
Fax: (817) 877-3672
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X E0404 Texas

Profile Details

NPI number 1487629952
LBN Legal business name Blair, Roger S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Mar 24th, 2011 - about 15 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 1487629952 NPPES
Texas Other 8K5527 BCBS
Texas Other 130017251 BCBS
Texas Other 861551 BCBS
Texas MEDICAID 132075601 BCBS

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