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Individual

DR. DAVID L. BLACKBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1020 HWY 16 S, FREDERICKSBURG, TX 78624-4471
(830) 249-1827
Mailing address
200 CORPORATE BLVD, SUITE # 201, LAFAYETTE, LA 70508-3870
(800) 893-9698

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H7903
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
136516516
TX
Enumeration date
05/03/2006
Last updated
07/12/2011
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