Blackwell, David Eric

Blackwell, David Eric is an individual health care provider with primary practice located at 3601 4Th St Suite 3B100, Lubbock TX 79430-8340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, which is considered as his primary health care specialty. Blackwell, David Eric can be contacted via phone (806) 743-2340.

Contact Information

Primary practice address
3601 4Th St Suite 3B100 Lubbock TX 79430-8340
Phone: (806) 743-2340
Fax: (806) 743-1775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X E6996 Texas

Profile Details

NPI number 1245220110
LBN Legal business name Blackwell, David Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Mar 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245220110 NPPES
Texas MEDICAID 134414506
Texas MEDICAID 44304
Texas Other A052
Texas MEDICAID X5317
Texas Other 108700100
Texas MEDICAID 134414501
Texas Other 80807Z
Texas MEDICAID 108700101
Texas Other 44304
Texas Other 80R001
Texas MEDICAID 100034690A

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