Dr. Jennifer J Blasingame, M.D.
Obstetrics & Gynecology in College Station, TX. Individual provider (NPI-1).
NPI number1730104233
StatusActive
Last updated in NPPESSep 15, 2008
Details
- NPI
- 1730104233
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jennifer J Blasingame
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2006
- Last updated
- Sep 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | L3243 | TX | Yes |
Practice location
1602 Rock Prairie RdSuite 3000
College Station, TX 77845-8306
Phone 979-764-4043 · Fax 979-694-2175
Mailing address
1602 Rock Prairie RdSuite 3000
College Station, TX 77845-8306
Phone 979-764-4043 · Fax 979-694-2175
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