SearchTexas101YP2500X

Tiara Blackwood

NPI 1891341038 · on the registry since 2019 · sole proprietor

Practice

Address
9443 Singing Quail Dr
Austin, TX 78758
Phone
(618) 530-2365

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-08-13

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