DR. CHARLES EBENEZER BLAIR


Address: 1120 Nasa Pkwy 220w, Houston, TX 77058-3362
Phone: 9033127268

DR. CHARLES EBENEZER BLAIR (NPI# 1144433954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144433954
Entity Type Individual
Full Name DR. CHARLES EBENEZER BLAIR
Credential PHD, RN, CS
Practice Address 1120 Nasa Pkwy 220w
Houston
TX 77058-3362
Practice Telephone 9033127268
Practice Fax Number 2813314197
Mailing Telephone 9033127268
Mailing Fax Number 2813314197
Enumeration Date 2007-05-08
Last Update Date 2015-12-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0809X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Adult
539564 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 0443392 05
TX BLUECROSS & BLUESHIELD PR NP7054 01

Other Providers CHARLES BLAIR

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Office Location

Street Address 1120 NASA PKWY 220W
City HOUSTON
State TX
Zip Code 77058-3362

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NPI Name Taxonomy Address Enumeration
1699248807 Jolly Joseph Nurse Practitioner 18300, Houston Methodist, Houston, TX 77058 2019-01-10
1700372992 Jasmin Elise Auzenne Audiologist 17625 El Camino Real Ste 155, Houston, TX 77058 2018-07-10
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1699263285 Pneucare, LLC Durable Medical Equipment & Medical Supplies 1322 Space Park Dr Ste C120, Houston, TX 77058 2018-04-29
1972005189 Limy Fernandus Nurse Practitioner 985 E Nasa Pkwy, Houston, TX 77058 2018-03-03
1033623616 Sigi Paul Nurse Practitioner 1210 El Camino Village Dr., Houston, TX 77058 2017-11-19
1881107845 Jennifer Elise Hobson Counselor 1322 Space Park Dr Ste B123, Houston, TX 77058 2017-11-13
1174035778 Agrarian Wellness, LLC Registered Nurse 17000 El Camino Real Ste 209, Houston, TX 77058 2017-11-04
1013468073 Cynthia Bandemer Counselor 17300 El Camino Real Ste 107d, Houston, TX 77058 2016-10-14
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Taxonomy Information

Taxonomy Code 364SP0809X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710413877 Rebecca Casarez Clinical Nurse Specialist 7000 Fannin St, Suite 1620, Houston, TX 77030-5400 2017-05-11
1194009480 Diana Adams Nichols Clinical Nurse Specialist 1515 Holcombe Blvd, Houston, TX 77030-4009 2011-10-05
1174835979 Patti Shawn Hardesty Clinical Nurse Specialist 5500 Guhn Rd, Suite 100, Houston, TX 77040-6161 2010-07-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972126001 Augusta Chika Anyama Clinical Nurse Specialist 20902 Bright Lake Bend Ct, Richmond, TX 77407-4491 2020-05-23
1801123765 Kathryn M. Gaylord Clinical Nurse Specialist 3400 Rowley E. Chambers Avenue, United States Army Institute of Surgical Research, Fort Sam Houston, TX 78234-6315 2009-11-12
1386882975 Deborah Ann Sanford-wilson Clinical Nurse Specialist 411 S Nedderman Dr, Arlington, TX 76019-0001 2009-02-04
1740450642 Phyllis Jean Ellena Clinical Nurse Specialist 4026 Parkway Dr, San Antonio, TX 78228-2311 2008-03-06
1669665220 Joyce A Hohner Clinical Nurse Specialist 964 W Highway 190, Suite 7, Copperas Cove, TX 76522-3800 2007-08-27
1932297363 Starla B Harrison Clinical Nurse Specialist 6363 Forest Park, #749, Dallas, TX 75390-9121 2006-10-11
1134143332 Robert Ray Robertson Clinical Nurse Specialist 3605 N.e. Loop 286, Suite 2000, Paris, TX 75460-5085 2006-07-27
1356332324 Jorge Torres Clinical Nurse Specialist Brooke Army Medical C Enter, Fort Sam Houston, TX 78234 2005-10-31
1386151272 Hilda L Solis, Rn Msn Apn PC Clinical Nurse Specialist 905 S Jackson Rd, Pharr, TX 78577-6616 2018-01-02
1578965166 Debora R. Hall Clinical Nurse Specialist 2601 N Cornerstone Dr, Sherman, TX 75092-2551 2014-09-25
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Competitor

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City HOUSTON
Zip Code 77058

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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