Search › Texas › 163WL0100X
Lue Blaylock
NPI 1467986695 · on the registry since 2017 · sole proprietor
Practice
- Address
- 10908 Briaroaks Dr
Fort Worth, TX 76140 - Phone
- (817) 966-5226
Registry record
- Primary taxonomy
- 163WL0100X
163WL0100X
- Also registered as
- 163W00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-04-14
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