DR. CHARLES EBENEZER BLAIR PHD RN CS NPI 1144433954

NPI Information

NPI: 1144433954
Provider Name: DR. CHARLES EBENEZER BLAIR, PHD, RN, CS
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

PECOS Registration: Yes

Address:
1120 NASA PKWY 220W
HOUSTON, TX
ZIP 77058
Phone: (903) 312-7268
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DR. Charles Ebenezer Blair, PHD, RN, CS is a psychiatric/mental health and adult clinical nurse specialist in Houston, TX. DR. Charles Ebenezer Blair, PHD, RN, CS NPI is 1144433954. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1120 NASA PKWY 220W
HOUSTON, TX
ZIP 77058-362
Phone: (903) 312-7268
Fax: (281) 331-4197

The NPI 1144433954 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 12/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	539564	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R17107	MEDICARE UPIN	TEXAS
2	295215	MEDICARE PIN	TEXAS
3	NP7054	OTHER	TEXAS	BLUECROSS & BLUESHIELD PR
4	0443392	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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