Individual
DR. CODY BLACKSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1739 SCHERTZ PKWY, SCHERTZ, TX 78154-1639
(210) 491-8179
(210) 590-2664
Mailing address
1739 SCHERTZ PKWY, SCHERTZ, TX 78154-1639
(210) 491-8179
(210) 590-2664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
W0524
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
08/26/2025
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