SearchTexas164X00000X

Karen Blake

NPI 1992905905 · on the registry since 2007 · sole proprietor

Practice

Address
909 Vz County Road 2313
Canton, TX 75103
Phone
(903) 848-4710
Fax
(903) 848-9420

Registry record

Primary taxonomy
164X00000X
164X00000X
Also registered as
163W00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-19

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