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Organization

D. MICHAEL BLANKENSHIP, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENNIS MICHAEL BLANKENSHIP MD (PRESIDENT)
(870) 773-1111
Entity
Organization

Contact information

Practice address
422 BEECH ST, TEXARKANA, AR 71854-5310
(870) 773-1111
(870) 772-7692
Mailing address
422 BEECH ST, TEXARKANA, AR 71854-5310
(870) 773-1111
(870) 772-7692

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
156782801
TX
01
88HD
TX BLUE CROSS
TX
01
8F4570
TX BLUE CROSS
TX
Enumeration date
03/27/2007
Last updated
06/20/2008
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