MEDICARE: MRS. KAREN MARIE BLAIN RRT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	227900000X	Registered Respiratory Therapist	RCP00073162	TX

General Provider Information

NPI Number	:	1316414428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN MARIE BLAIN RRT

Provider Business Mailing Address
First Line	:	258 ARCADIA PL
Second Line	:
City	:	CIBOLO
State	:	TX
Zip	:	78108-3391
Country	:	US
Telephone Number	:	210-744-9760
Fax Number	:

Provider Business Practice Location Address
First Line	:	4803 NW LOOP 410 STE 200
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4208
Country	:	US
Telephone Number	:	210-744-9760
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2018
Last Update Date	:	10/26/2018

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