Individual
DR. JON D BLACHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6415 DELOACHE AVE, DALLAS, TX 75225-2606
(469) 585-5209
Mailing address
6415 DELOACHE AVE, DALLAS, TX 75225-2606
(469) 585-5209
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
E6238
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01022707
RAILROAD
TX
Enumeration date
08/02/2006
Last updated
06/29/2012
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