Provider Demographics
NPI:1154131225
Name:CARRIE F BLADES, MD, PLLC
Entity type:Organization
Organization Name:CARRIE F BLADES, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:FONTENOT
Authorized Official - Last Name:BLADES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-653-2946
Mailing Address - Street 1:10242 GREENHOUSE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-1855
Mailing Address - Country:US
Mailing Address - Phone:832-653-2946
Mailing Address - Fax:832-653-6656
Practice Address - Street 1:10242 GREENHOUSE RD STE 201
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-1855
Practice Address - Country:US
Practice Address - Phone:832-653-2946
Practice Address - Fax:832-653-6656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Single Specialty