ALLISON BLAZEK MD PA
Osteopathic Medicine at 27 St, Houston, TX

License number
Texas L1273
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. ALLISON BLAZEK MD
Title: SECRETARY
Phone: (832) 978-0395
Address
Address
1740 W 27Th St SUITE 215, Houston, TX 77008
National Provider ID: 1134394752
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ALLISON BLAZEK, M.D., PA

Houston, TX

Registration:
Apr 28, 2008
Addresses:
1626 Cortlandt St, Houston, TX 77008 (Mailing)
1740 W 27 St, Houston, TX 77008
State ID:
0800971054
Business type:
Professional Association
President, Treasurer, Secretary, Director, Member, Vice-President:
Allison M. Blazek (President, Treasurer, Secretary, Director, Member, Vice-President)
Agent:
Allison M Blazek,2310 Rutland, Houston, TX 77008 (Physical)
TIN:
32036898214

Allison Blazek MD PA

5151 Katy Fwy, Houston, TX 77007

Status:
Inactive
Industry:
Medical Doctor's Office
Internal Medicine, Principal:
Allison M. Blazek Internal Medicine, Principal, inactive

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