Individual
MR. EDDY BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
4415 PARKER RD, WYLIE, TX 75098-7719
(214) 704-7744
(972) 429-2027
Mailing address
4415 PARKER RD, WYLIE, TX 75098-7719
(214) 704-7744
(972) 429-2027
Taxonomy
Speciality
Code
Description
License number
State
2279H0200X
Home Health Registered Respiratory Therapist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DMEH50339
—
TX
Enumeration date
01/24/2007
Last updated
07/09/2007
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