Blackburn Procurement LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

BLACKBURN PROCUREMENT LLC

Practice address

7150 Greenville Ave Ste 101
Dallas, TX 75231-5165

Phone

(214) 390-7697

Fax

(888) 770-6360

NPI assigned

Nov 22, 2019

Organization subpart

No

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

Authorized official

Name

Basem Ahmed Abdelfattah

Title

Admin

Phone

(214) 390-7697

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1477199685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250783",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750250783",
            "telephone_number": "214-390-7697",
            "fax_number": "888-770-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 GREENVILLE AVE STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315165",
            "telephone_number": "214-390-7697",
            "fax_number": "888-770-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKBURN PROCUREMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "ABDELFATTAH",
        "authorized_official_first_name": "BASEM",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "214-390-7697"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Black, MD
• Stuart Barry Black, MD
• Timothy Scott Black, LMSW
• William Christopher Black, MD
• Blackburn Management
• Kyle Blackburn, M.D.
• Raymond C Blackburn, MD
• Steven Blackburn, D.D.S
• Blackett & Smith PLLC
• Tashya A Blacklock, PA

• Dermatology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.