Individual
BLAKE KENT MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
808 W US HIGHWAY 79, FRANKLIN, TX 77856-1728
(979) 828-1450
(979) 828-1164
Mailing address
808 W US HIGHWAY 79, FRANKLIN, TX 77856-1728
(979) 828-1450
(979) 828-1164
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1029921
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1029921
TEXAS BOARD OF NURSING
TX
Enumeration date
02/11/2021
Last updated
08/02/2023
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