SearchTexas235Z00000X

Blair Freshwater

NPI 1396250601 · on the registry since 2017 · sole proprietor

Practice

Address
2522 Fort Worth Ave
Dallas, TX 75211
Phone
(214) 736-1632
Organisation at this address
Pacifica Harborview-Kessler Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-12-08

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