OrganizationActive
Blackburn Management
NPI 1417414061 · Surgical Technologist · Dallas, TX
Provider details
- NPI number
- 1417414061
- Entity type
- Organization
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Basem Abdelfattah, Manager(915) 241-0997
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7150 Greenville Ave Ste 101
Dallas, TX 75231-5165
Phone: (214) 613-0337
Street-level locationGet directions
Mailing address
7150 Greenville Ave Ste 101
Dallas, TX 75231-5165
Registry dates
- Enumerated
- 2019-03-01
- Last updated
- 2019-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.