Individual
DAVID WAYNE BLANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2102 OXFORD AVENUE, SUITE B, LUBBOCK, TX 79410
(806) 725-6466
(806) 723-7440
Mailing address
3420 22ND PLACE, LUBBOCK, TX 79410
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K0421
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132520107
—
TX
Enumeration date
04/14/2006
Last updated
11/23/2015
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