Blossom Neurology Centers LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

BLOSSOM NEUROLOGY CENTERS LLC

Doing business as

Denton Pain Center

Practice address

721 S I 35 E Ste 142
Denton, TX 76205-8153

Phone

(940) 239-7771

Fax

(888) 751-5345

NPI assigned

Dec 12, 2017

Last updated

Dec 12, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patricia West

Title

Owner/General Manager

Phone

(940) 239-7771

Specialties & licenses 2

Addresses

Other names 1

• Denton Pain Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1275048258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8887",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754048887",
            "telephone_number": "888-345-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S I 35 E STE 142",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762058153",
            "telephone_number": "940-239-7771",
            "fax_number": "888-751-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM NEUROLOGY CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER/GENERAL MANAGER",
        "authorized_official_telephone_number": "940-239-7771"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denton Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew J Blankenau, M.D.
• Kaitlin C. Blankenship, MD
• Erin Blaylock, NP
• Leisha Monette Blaylock, FNP-C
• Kim Tien Blois, O.D.
• Thomas Blucker, MD
• Blue Dragon Rogues, Inc (Zounds Hearing)
• Bluebonnet Hospice Care Inc
• Blues Family Practice LLC
• Akwasi Ofori Boah, M.D.

• Pain Medicine (Anesthesiology) Physician in Denton, TX
• Providers in Denton, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.