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Individual

DR. DAVID EDWARD BLOCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
1308 PALUXY RD STE 204, GRANBURY, TX 76048-5689
(817) 579-9357
(817) 579-9363
Mailing address
PO BOX 1087, GRANBURY, TX 76048-8087
(609) 784-2770

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K2651
TX
2083P0901X
Public Health & General Preventive Medicine Physician
K2651
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
386974505
TX
05
386974507
TX
Enumeration date
09/20/2005
Last updated
03/07/2023
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