Search › New Mexico › 103TP0016X
Blake White, PH.D
NPI 1255465886 · on the registry since 2007 · sole proprietor
Practice
- Address
- 5623 Bosque Vista Dr Ne
Albuquerque, NM 87111 - Phone
- (505) 917-3862
Registry record
- Primary taxonomy
- 103TP0016X
103TP0016X
- Also registered as
- 103TC0700X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-03-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico