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Individual
DR. DAVID ERIC BLACKWELL
Active
Individual
DR. DAVID ERIC BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
E6996
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100034690A
—
OK
01
—
108700100
FRISTCARE COMMERCIAL
TX
05
—
108700101
—
TX
05
—
134414501
—
TX
05
—
134414506
—
TX
01
—
44304
PRESBYTERIAN COMMERCIAL
NM
05
—
44304
—
NM
01
—
80807Z
HMO BLUE
TX
01
—
80R001
BC/BS
TX
01
—
A052
TRIWEST
NM
05
—
X5317
—
NM
Enumeration date
10/24/2005
Last updated
03/22/2021
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