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Individual

DR. CHARLES LEONARD BLANKENSHIP JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525
Mailing address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E6241
TX
208600000X
Surgery Physician
E7324
AR

Other

Enumeration date
04/06/2006
Last updated
04/29/2015
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