# BLOCKER PREVENTIVE MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649061706
- **Authorized official:** DAVID E BLOCKER MD, MPH (OWNER)
- **Authorized official phone:** (682) 200-9352

## Contact information

- **Practice address:** 6100 HARRIS PKWY STE 250, FORT WORTH, TX 76132-4132
- **Practice address phone:** (817) 433-1430
- **Mailing address:** PO BOX 1087, GRANBURY, TX 76048-8087
- **Mailing address phone:** (682) 200-9352
- **Mailing address fax:** (866) 271-0102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083A0100X | Aerospace Medicine Physician | — | NULL | — |
| 2083A0100X | Aerospace Medicine Physician | — | — | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | NULL | Yes |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |
| 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