Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Backed by Blackmon

Organization Health Service Clinic/Center · NPI 1306580584

Backed by Blackmon is a Health Service Clinic/Center in Houston, Texas. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

17047 El Camino Real Ste 140
Houston, TX 77058-2615
Phone: (713) 321-0506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1306580584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randi Blackmon — Owner · (713) 855-2929
NPI enumeratedApril 25, 2022
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address17047 El Camino Real Ste 140, Houston, TX 77058-2615

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