Individual
MR. STAN E. BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PT
Contact information
Practice address
4003 CALLOWAY DR, MANSFIELD, TX 76063-3448
(817) 727-3182
(682) 518-5603
Mailing address
4003 CALLOWAY DR, MANSFIELD, TX 76063-3448
(817) 727-3182
(682) 518-5603
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1027654
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1027654
PHYSICAL THERAPIST
TX
Enumeration date
05/22/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us