Individual
DAVID E BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2802 S STAPLES ST STE D, CORPUS CHRISTI, TX 78404-3615
(361) 257-1909
(361) 371-8376
Mailing address
2802 S STAPLES ST STE D, CORPUS CHRISTI, TX 78404-3615
(361) 257-1909
(361) 371-8376
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
J3743
TX
208D00000X
General Practice Physician
Primary
J3743
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123163400
—
WY
05
—
1780657791
—
WY
01
—
314473
BCWY
WY
01
—
605960009
USDLAB
WY
Enumeration date
02/09/2006
Last updated
02/12/2024
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