Individual
DR. DAVID ERIC BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 4TH ST, SUITE 3B100, LUBBOCK, TX 79430-8340
(806) 743-2340
(806) 743-1775
Mailing address
3601 4TH ST # MS 8340, LUBBOCK, TX 79430-5865
(806) 761-0770
(806) 761-0776
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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