Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WANDA BLAKE
Active Sole ProprietorWANDA BLAKE is a 2278G1100X healthcare provider located in DALLAS, Texas. NPI 1962888297 is currently active in the NPPES registry. Verify at CMS.
2278G1100X · DALLAS, TX
Registration Details
- NPI Number
- 1962888297
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 10, 2015 (11.047029649019 yrs)
- Last Updated
- Aug 10, 2015
- License
-
62660 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4300 ROSEMEADE PKWY APT 812DALLAS, TX, 752872921Browse TX providers · Browse ZIP 75287
- Phone
- 2142830892
- Primary Specialty
-
2278G1100X
2278G1100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.