Individual
MR. ALAN L BLANKENSHIP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 E BROAD ST, MANSFIELD, TX 76063
(682) 622-2000
Mailing address
6451 BRENTWOOD RD, STE 200, FT WORTH, TX 76112
(817) 496-9700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P4424
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2011
Last updated
01/07/2015
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