Individual
MR. DAVID DILLARD BLACKERBY II
Active
Individual
MR. DAVID DILLARD BLACKERBY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNC
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
171W00000X
Contractor
—
TX
172A00000X
Driver
22130577
TX
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/29/2024
Last updated
01/10/2025
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