Dr Charles Ebenezer Blair, PHD, RN, CS | |
1120 Nasa Pkwy 220w, Houston, TX 77058-3362 | |
(903) 312-7268 | |
(281) 331-4197 |
Full Name | Dr Charles Ebenezer Blair |
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Gender | Male |
Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
Location | 1120 Nasa Pkwy 220w, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144433954 | NPI | - | NPPES |
0443392 | Medicaid | TX | |
NP7054 | Other | TX | BLUECROSS & BLUESHIELD PR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 539564 (Texas) | Primary |
Entity Name | On Site Counseling,inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720353048 PECOS PAC ID: 2860656808 Enrollment ID: O20120604000336 |
Entity Name | Health And Human Services Commission |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356414692 PECOS PAC ID: 2163795824 Enrollment ID: O20170908001058 |
Mailing Address | Practice Location Address |
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Dr Charles Ebenezer Blair, PHD, RN, CS 1120 Nasa Pkwy 220w, Houston, TX 77058-3362 Ph: (903) 312-7268 | Dr Charles Ebenezer Blair, PHD, RN, CS 1120 Nasa Pkwy 220w, Houston, TX 77058-3362 Ph: (903) 312-7268 |
Stephanie Quintero, MSN, APRN, AG CNS-BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161 | |
Amy Jean Wolford, A.P.N Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 14340 Torrey Chase Blvd, Suite 160, Houston, TX 77014 Phone: 281-580-8086 Fax: 281-580-7129 | |
Cuong Thi Thanh Phan, Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 7401 Main St, Houston, TX 77030 Phone: 713-799-2300 Fax: 713-794-3380 | |
Margaret A. Mcmartin, CNS-P/MH-LPA Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1311 Antoine Dr Apt 283, Houston, TX 77055 Phone: 713-208-0456 | |
Paula F. Demasi, RN, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161 | |
Martha Wimberly Oloomi, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2002 Holcombe Blvd, Sci/rehab/neuro Service Line, Houston, TX 77030 Phone: 281-980-0465 | |
Dona Marie Gambrel, APRN, BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 9401 Southwest Fwy, Houston, TX 77074 Phone: 713-448-6986 Fax: 713-448-5746 |