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Organization
BLOCKER PREVENTIVE MEDICINE PLLC
Active
Organization
BLOCKER PREVENTIVE MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID E BLOCKER MD, MPH (OWNER)
(682) 200-9352
Entity
Organization
Contact information
Practice address
6100 HARRIS PKWY STE 250, FORT WORTH, TX 76132-4132
(817) 433-1430
Mailing address
PO BOX 1087, GRANBURY, TX 76048-8087
(682) 200-9352
(866) 271-0102
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
—
NULL
2083A0100X
Aerospace Medicine Physician
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
NULL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
NULL
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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