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Individual

DR. DAVID R BLACKWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1201 N 18TH ST, ABILENE, TX 79601-2932
(325) 793-3100
Mailing address
1201 N 18TH ST, ABILENE, TX 79601-2932
(325) 793-3100

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H0186
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060011942
RAILROAD MEDICARE
TX
01
108702100
FIRSTCARE
TX
05
119269202
TX
01
895008
BCBS
TX
Enumeration date
08/31/2006
Last updated
06/09/2008
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