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Teddy Blodgett
NPI 1306244470 · on the registry since 2014 · sole proprietor
Practice
- Address
- 7761 Fm 14
Trlr 60
Tyler, TX 75706 - Phone
- (903) 216-5427
- Fax
- (903) 526-4110
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-12-05
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 Texas